Healthcare Provider Details

I. General information

NPI: 1356779797
Provider Name (Legal Business Name): SUTTER BAY HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5196 HILL RD E SUITE 300
LAKEPORT CA
95453-6360
US

IV. Provider business mailing address

2000 POWELL ST. 10TH FL
EMERYVILLE CA
94608-1804
US

V. Phone/Fax

Practice location:
  • Phone: 707-263-6885
  • Fax: 707-263-6624
Mailing address:
  • Phone: 510-450-7347
  • Fax: 510-450-7309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN B. GATES
Title or Position: CFO
Credential:
Phone: 510-450-7357