Organization · Type 2 NPI

Sutter Bay Medical Foundation

Pediatrics Physician · Berkeley, CA

NPI number 1104370253 Active

Practice location

3000 Colby St Ste 205
Berkeley, CA 94705-2058

Fax (510) 486-1478

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Specialties and licenses

TaxonomyCodeLicense
Hepatology Physician 207RI0008XNone listed
Nephrology Physician 207RN0300XNone listed
Ophthalmology Physician 207W00000XNone listed
Pediatrics Physician Primary 208000000XNone listed
Pediatric Endocrinology Physician 2080P0205XNone listed

Pediatrics Physician: A pediatrician 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 de…

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About NPI 1104370253

Sutter Bay Medical Foundation's National Provider Identifier is 1104370253, issued on Aug 6, 2016. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Berkeley, CA. The record was last updated on Oct 23, 2026.