SUTTER BAY MEDICAL FOUNDATION – NPI #1033817168
Clinic/Center

SUTTER BAY MEDICAL FOUNDATION is an AHC clinic located in SAN JOSE, CA. NPPES has assigned the NPI number 1033817168 to SUTTER BAY MEDICAL FOUNDATION on February 17, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUTTER BAY MEDICAL FOUNDATION below.

NPI Profile for
SUTTER BAY MEDICAL FOUNDATION

NPI Number
1033817168
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUTTER BAY MEDICAL FOUNDATION
Primary location
2506 SAMARITAN CT
SAN JOSE, CA 95124-4001
Phone: (408) 203-3941 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - SUTTER BAY MEDICAL FOUNDATION is subpart of another organization.
Authorized Official
MELODY STATES
EXECUTIVE DIRECTOR
Phone: (916) 566-4771
Updated
Certification Date
Feb 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.