Healthcare Provider Details

I. General information

NPI: 1295199701
Provider Name (Legal Business Name): SUTTER BAY HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 WILLOW RD
MENLO PARK CA
94025-2617
US

IV. Provider business mailing address

2000 POWELL ST 10TH FLOOR
EMERYVILLE CA
94608-1804
US

V. Phone/Fax

Practice location:
  • Phone: 650-324-8500
  • Fax: 650-324-9404
Mailing address:
  • Phone: 510-450-7347
  • Fax: 510-450-7309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

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