SUTTER WEST BAY MEDICAL FOUNDATION NPI 1104852789

NPI Information

  • NPI: 1104852789
  • Provider Name: SUTTER WEST BAY MEDICAL FOUNDATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION
  • CLIA Number: 05D2263871
  • Address: 2340 CLAY ST
    FLOORS 1-5 AND 7
    SAN FRANCISCO, CA
    ZIP 94115
  • Phone: (415) 600-1000

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NPI Details

SUTTER WEST BAY MEDICAL FOUNDATION is a family medicine in San Francisco, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1104852789. 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:

2340 CLAY ST
FLOORS 1-5 AND 7
SAN FRANCISCO, CA
ZIP 94115-932
Phone: (415) 600-1000
Fax: (415) 600-1065

The provider's authorized official is Morris A. Flaum .
The authorized official title is Director Of Finance and has the following contact phone number (415) 600-4257.

The CLIA number assigned to this NPI record is 05D2263871 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2006 and was last updated on 4/14/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RI0008XInternal MedicineHepatologyNo
5207RN0300XInternal MedicineNephrologyNo
6207SG0201XMedical GeneticsClinical Genetics (M.D.)No
7207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
8208000000XPediatricsNo
92080P0207XPediatricsPediatric Hematology-OncologyNo
102083X0100XPreventive MedicineOccupational MedicineNo
112084N0400XPsychiatry & NeurologyNeurologyNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AP677AMEDICARE PINCALIFORNIA
2ZZZ26472ZMEDICARE PINCALIFORNIA
3ZZZ24491ZMEDICARE PINCALIFORNIA
4ZZZ24492ZMEDICARE PINCALIFORNIA
5ZZZ24490ZMEDICARE PINCALIFORNIA
6ZZZ05022ZMEDICARE PINCALIFORNIA
7ZZZ24485ZMEDICARE PINCALIFORNIA
8ZZZ24487ZMEDICARE PINCALIFORNIA
9ZZZ24489ZMEDICARE PINCALIFORNIA

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: 11/21/2025

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