SUTTER WEST BAY MEDICAL FOUNDATION NPI 1619101912

NPI Information

NPI: 1619101912
Provider Name: SUTTER WEST BAY MEDICAL FOUNDATION

Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
3006 S MARYLAND PKWY
#470
LAS VEGAS, NV
ZIP 89109
Phone: (702) 796-9111
Get Directions

SUTTER WEST BAY MEDICAL FOUNDATION is a nephrology internal medicine in Las Vegas, NV. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1619101912. 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:

3006 S MARYLAND PKWY
#470
LAS VEGAS, NV
ZIP 89109-218
Phone: (702) 796-9111
Fax: (702) 792-9112

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0008X	Internal Medicine	Hepatology			No
2	207RN0300X	Internal Medicine	Nephrology			Yes

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
1	100511636 RENO	MEDICAID	NEVADA
2	100511635 LAS VEGAS	MEDICAID	NEVADA
3	V103970	MEDICARE PIN	NEVADA

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: 5/5/2024

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