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SUTTER WEST BAY MEDICAL FOUNDATION NPI 1356575641


NPI Information

NPI: 1356575641
Provider Name: SUTTER WEST BAY MEDICAL FOUNDATION

Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION

Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

Address:
1315 ALHAMBRA BLVD
#210
SACRAMENTO, CA
ZIP 95816
Phone: (916) 732-4380
Get Directions

SUTTER WEST BAY MEDICAL FOUNDATION is a hepatology internal medicine in Sacramento, CA. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1356575641. 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:

1315 ALHAMBRA BLVD
#210
SACRAMENTO, CA
ZIP 95816-244
Phone: (916) 732-4380
Fax: (916) 739-0893

The provider's authorized official is John Gates .
The authorized official title is Rcfo and has the following contact phone number (415) 600-7755.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 9/25/2013.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207RN0300XInternal MedicineNephrologyNo
3207T00000XNeurological SurgeryNo
4208000000XPediatricsNo
5207Q00000XFamily MedicineNo
6207R00000XInternal MedicineNo
7207RC0000XInternal MedicineCardiovascular DiseaseNo
8207RI0008XInternal MedicineHepatologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ENROLLEDMEDICAIDCALIFORNIA
2CK156AMEDICARE 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: 4/28/2024

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