Sutter West Bay Medical Foundation
Pediatrics
Sutter West Bay Medical Foundation is a San Rafael, California based Pediatric center with medical specialization in
General Pediatrics. Sutter West Bay Medical Foundation is doing business as
Sutter Pacific Medical Foundation.
It is located at
750 Las Gallinas Ave, #210, San Rafael, California - 94903-3438. They can be contacted on phone at
415-479-7244 and fax number 415-479-0917.
NPI number (Unique professional ID) for Sutter West Bay Medical Foundation is
1124252416 which was assigned by NPPES on 14 May, 2009 and it was last updated on 25 Sep, 2013.
Sutter West Bay Medical Foundation is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Sutter West Bay Medical Foundation basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Sutter West Bay Medical Foundation |
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| Other Name : | Sutter Pacific Medical Foundation |
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Business Address:
Sutter West Bay Medical Foundation address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 750 Las Gallinas Ave, #210
San Rafael, CA, 94903-3438
United States |
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| Phone Number : | 415-479-7244 |
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| Fax Number : | 415-479-0917 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124252416 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 May, 2009 |
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| Last Updated On : | 25 Sep, 2013 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | John Gates |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | RCFO |
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| Phone Number : | 415-600-7755 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sutter West Bay Medical Foundation are as mentioned. Primary taxonomy code for Sutter West Bay Medical Foundation is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | | |
| 207R00000X | Internal Medicine | No | | |
| 207V00000X | Obstetrics & Gynecology | No | | |
| 363LP0200X | Nurse Practitioner Pediatrics | No | | |
| 208000000X | Pediatrics | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 254947
Sacramento, CA, 95865-4947
United States |
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| Phone Number : | 916-854-6975 |
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| Fax Number : | 916-854-6844 |
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Business Location:
Patients can refer following map for directions to
Sutter West Bay Medical Foundation practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.