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SUTTER MEDICAL FOUNDATION NPI 1972704542


NPI Information

NPI: 1972704542
Provider Name: SUTTER MEDICAL FOUNDATION
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3536 MENDOCINO AVE
SUITE 300
SANTA ROSA, CA
ZIP 95403
Phone: (707) 571-1280
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SUTTER MEDICAL FOUNDATION is a surgery in Santa Rosa, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SUTTER MEDICAL FOUNDATION NPI is 1972704542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3536 MENDOCINO AVE
SUITE 300
SANTA ROSA, CA
ZIP 95403-634
Phone: (707) 571-1280
Fax: (707) 578-5849

The provider's authorized official is Lisa M Phillips .
The authorized official title is Credentialing Specialist and has the following contact phone number (707) 473-4531.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 7/21/2022.


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
1208600000XSurgeryCALIFORNIAYes
22086S0129XSurgeryVascular SurgeryCALIFORNIAX
3291U00000XClinical Medical LaboratoryCALIFORNIAX
4207Q00000XFamily MedicineCALIFORNIAX
5207R00000XInternal MedicineCALIFORNIAX
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismCALIFORNIAX
7207V00000XObstetrics & GynecologyCALIFORNIAX
8208000000XPediatricsCALIFORNIAX
92080N0001XPediatricsNeonatal-Perinatal MedicineCALIFORNIAX

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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