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SUTTER BAY MEDICAL FOUNDATION NPI 1104370253


NPI Information

NPI: 1104370253
Provider Name: SUTTER BAY MEDICAL FOUNDATION

Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3000 COLBY ST STE 205
BERKELEY, CA
ZIP 94705
Phone: (510) 776-4143
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SUTTER BAY MEDICAL FOUNDATION is a pediatrics in Berkeley, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUTTER BAY MEDICAL FOUNDATION NPI is 1104370253. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Pacific Medical Foundation.

The provider's business location address is:

3000 COLBY ST STE 205
BERKELEY, CA
ZIP 94705-058
Phone: (510) 776-4143
Fax: (510) 486-1478

The provider's authorized official is John B. Gates .
The authorized official title is Cfo and has the following contact phone number (510) 450-7357.

The enumeration date for this NPI number is 8/6/2016 and was last updated on 8/6/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0008XInternal MedicineHepatologyNo
2207RN0300XInternal MedicineNephrologyNo
3207W00000XOphthalmologyNo
42080P0205XPediatricsPediatric EndocrinologyNo
5208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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