Healthcare Provider Details

I. General information

NPI: 1588732713
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: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 CASTRO ST
SAN FRANCISCO CA
94114-1010
US

IV. Provider business mailing address

PO BOX 7999
SAN FRANCISCO CA
94120-7999
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number220000197
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

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