Organization · Type 2 NPI

Sutter West Bay Medical Foundation

Obstetrics & Gynecology Physician · San Mateo, CA

NPI number 1912131202 Active

Practice location

100 S San Mateo Dr
San Mateo, CA 94401-3805

Call (650) 695-4901 Map

Fax (650) 696-4022

Mailing address

PO Box 254947
Sacramento, CA 95865-4947

Specialties and licenses

Taxonomy	Code	License
Nephrology Physician	207RN0300X	None listed
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Ophthalmology Physician	207W00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

61 other providers at this address

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NPI record

NPI: 1912131202
Entity type: Organization (Type 2)
Issued: May 14, 2009
Last updated: Sep 25, 2013
Status: Active
Subpart: Yes of Sutter West Bay Medical Foundation

Other names

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Sutter Pacific Medical Foundation · doing business as

Authorized official

Mr. John Gates
Rcfo
(415) 600-7755

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912131202

Sutter West Bay Medical Foundation's National Provider Identifier is 1912131202, issued on May 14, 2009. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in San Mateo, CA. The record was last updated on Sep 25, 2013.