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Organization
SUTTER BAY MEDICAL FOUNDATION
Active
Organization
SUTTER BAY MEDICAL FOUNDATION
Active
Other names
Sutter Pacific Medical Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KELLER (SR. DIRECTOR, PLANNING AND ALIGNMEN)
(650) 934-7000
Entity
Organization
Contact information
Practice address
3883 AIRWAY DR, SUITE 120, SANTA ROSA, CA 95403-1670
(707) 521-8966
(707) 523-1301
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
225100000X
Physical Therapist
—
—
247100000X
Radiologic Technologist
—
—
291U00000X
Clinical Medical Laboratory
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/06/2016
Last updated
03/18/2026
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