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SUTTER WEST BAY MEDICAL FOUNDATION NPI 1548494834


NPI Information

NPI: 1548494834
Provider Name: SUTTER WEST BAY MEDICAL FOUNDATION

Doing Business As: SUTTER PACIFIC MEDICAL FOUNDATION

Classification: Internal Medicine - 207RI0008X
Entity Type: Organization

Specialization: Hepatology

Address:
3880 S BASCOM AVE
#113
SAN JOSE, CA
ZIP 95124
Phone: (408) 832-5498
Get Directions

SUTTER WEST BAY MEDICAL FOUNDATION is a hepatology internal medicine in San Jose, CA. The provider is the discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1548494834. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Pacific Medical Foundation.

The provider's business location address is:

3880 S BASCOM AVE
#113
SAN JOSE, CA
ZIP 95124-674
Phone: (408) 832-5498
Fax: (408) 927-5421

The provider's authorized official is John Gates .
The authorized official title is Rcfo and has the following contact phone number (415) 600-7755.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 9/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyNo
2207RI0008XInternal MedicineHepatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BF336BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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