Healthcare Provider Details

I. General information

NPI: 1396813523
Provider Name (Legal Business Name): SUTTER BAY HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 DUBOCE AVE
SAN FRANCISCO CA
94117-3389
US

IV. Provider business mailing address

PO BOX 7999
SAN FRANCISCO CA
94120-7999
US

V. Phone/Fax

Practice location:
  • Phone: 415-600-2200
  • Fax:
Mailing address:
  • Phone: 415-600-6000
  • Fax: 415-600-7776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number220000197
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number StateCA

VIII. Authorized Official

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