Organization · Type 2 NPI

Sutter Bay Medical Foundation

Family Medicine Physician · Santa Rosa, CA

NPI number 1528512688 Active

Practice location

3883 Airway Dr, Suite 120
Santa Rosa, CA 95403-1670

Call (707) 521-8966 Map

Fax (707) 523-1301

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Pediatrics Physician 208000000XNone listed
Surgery Physician 208600000XNone listed
General Practice Physician 208D00000XNone listed
Podiatrist 213E00000XNone listed
Physical Therapist 225100000XNone listed
Radiologic Technologist 247100000XNone listed
Clinical Medical Laboratory 291U00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Advanced Practice Midwife 367A00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1528512688

Sutter Bay Medical Foundation's National Provider Identifier is 1528512688, issued on Aug 6, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 23, 2026.