SUTTER BAY MEDICAL FOUNDATION NPI 1760833834

NPI Information

  • NPI: 1760833834
  • Provider Name: SUTTER BAY MEDICAL FOUNDATION
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION
  • Address: 750 LAS GALLINAS AVE STE 210
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 479-7244

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NPI Details

SUTTER BAY MEDICAL FOUNDATION is a pediatrics in San Rafael, 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 1760833834. 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:

750 LAS GALLINAS AVE STE 210
SAN RAFAEL, CA
ZIP 94903-432
Phone: (415) 479-7244
Fax: (415) 479-0917

The provider's authorized official is Krista Lopes .
The authorized official title is Sh Vp, Quality, Safety, Patient Ed and has the following contact phone number (916) 384-7544.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 10/28/2024.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsYes
5363LP0200XNurse PractitionerPediatricsNo

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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