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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
750 LAS GALLINAS AVE STE 210, SAN RAFAEL, CA 94903-3432
(415) 479-7244
(415) 479-0917
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/29/2016
Last updated
03/18/2026
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