# SUTTER BAY MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SUTTER BAY MEDICAL FOUNDATION
- **Other names:** Sutter Blossom Hill Endoscopy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538942842
- **Legal business name:** SUTTER BAY MEDICAL FOUNDATION
- **Authorized official:** MELODY STATES RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (650) 683-5032

## Contact information

- **Practice address:** 393 BLOSSOM HILL RD STE 365, SAN JOSE, CA 95123-1659
- **Practice address phone:** (408) 203-3941
- **Mailing address:** 701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
- **Mailing address phone:** (408) 203-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2023
- **Last updated:** 08/18/2023