SUTTER WEST BAY MEDICAL FOUNDATION NPI 1811242563

NPI Information

  • NPI: 1811242563
  • Provider Name: SUTTER WEST BAY MEDICAL FOUNDATION
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: ENDOSCOPY CENTER OF SANTA ROSA
  • Address: 1200 SONOMA AVE
    STE 2
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 571-2192

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NPI Details

SUTTER WEST BAY MEDICAL FOUNDATION is an ambulatory surgical clinic center in Santa Rosa, CA. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1811242563. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy Center Of Santa Rosa.

The provider's business location address is:

1200 SONOMA AVE
STE 2
SANTA ROSA, CA
ZIP 95405-664
Phone: (707) 571-2192
Fax: (707) 571-2194

The provider's authorized official is Michael J. Cohill .
The authorized official title is President and has the following contact phone number (415) 600-7771.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 8/1/2012.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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