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SUTTER BAY MEDICAL FOUNDATION
NPI 1033817168
Clinic/Center - Ambulatory Surgical in San Jose, CA

Active since February 17, 2023CLIA 05D1038281 · Microscopy
2506 SAMARITAN CT, SAN JOSE, CA 95124(408) 203-3941 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sutter Bay Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUTTER BAY MEDICAL FOUNDATION (NPI 1033817168), doing business as Sutter Samaritan Surgery Center, is a healthcare organization registered as an ambulatory surgical in San Jose, California and active in the NPI registry since February 2023. The organization holds a CLIA Microscopy certificate valid through March 16, 2027 and lists Melody States, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033817168
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUTTER BAY MEDICAL FOUNDATION
Location Address2506 SAMARITAN CTSan Jose, CA 95124-4001
Mailing Address2506 Samaritan CtSan Jose, CA 95124-4001 · (408) 203-3941
Phone(408) 203-3941
Organization SubpartYes
Authorized OfficialMelody StatesExecutive Director · (916) 566-4771
Enumeration DateFebruary 17, 2023
NPPES CertifiedFebruary 14, 2023
✔ NPI 1033817168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2506 SAMARITAN CT, San Jose, CA 95124
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Other Names 1

Doing Business AsSutter Samaritan Surgery Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sutter Bay Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

184

Medicare enrollment records show 184 clinicians reassign Medicare billing to Sutter Bay Medical Foundation, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 39 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Anesthesiology50
Ophthalmology17
Nurse Practitioner15
Cardiovascular Disease (Cardiology)14
Obstetrics/Gynecology13
Gastroenterology10
General Surgery10
Podiatry6
25 other specialties49

Nearest to this location (20)

See all 184
Hirra Ali, M.D.
General Surgery
NPI 1134410376
2506 SAMARITAN CT
San Jose, CA 95124
(408) 523-3300
✔ PECOS✔ Accepts MedicareSame address
Farsam Azad, MD
Obstetrics/Gynecology
NPI 1356997795
2506 SAMARITAN CT
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts MedicareSame address
David Kang, D.O.
General Surgery
NPI 1861804379
2506 SAMARITAN CT
San Jose, CA 95124
(408) 523-3300
✔ PECOS✔ Accepts MedicareSame address
Jessica Li, MD
Obstetrics/Gynecology
NPI 1881156859
2506 SAMARITAN CT
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts MedicareSame address
Julie Najar, MD
Obstetrics/Gynecology
NPI 1043830326
2506 SAMARITAN CT
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts MedicareSame address
Rosa Valtanen, MD
Orthopedic Surgery
NPI 1841751906
2506 SAMARITAN CT
San Jose, CA 95124
(408) 730-6160
✔ PECOS✔ Accepts MedicareSame address
Geoffrey Spencer, MD
Gastroenterology
NPI 1578625828
2440 SAMARITAN DR SUITE #1
San Jose, CA 95124
(408) 626-7375
✔ PECOS✔ Accepts Medicare0.2 mi
Alice Yang, M.D.
Gastroenterology
NPI 1669662896
2581 SAMARITAN DR STE 200
San Jose, CA 95124
(408) 523-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Mohammad Ezzati, M.D.
Reproductive Endocrinology and Infertility
NPI 1700030418
2581 SAMARITAN DR SUITE 308
San Jose, CA 95124
(650) 943-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Alexander Goel
Otolaryngology
NPI 1558822056
2581 SAMARITAN DR STE 210
San Jose, CA 95124
(408) 537-6090
✔ PECOS✔ Accepts Medicare0.2 mi
Hannah Gray, MD
Cardiovascular Disease (Cardiology)
NPI 1114424181
2581 SAMARITAN DR STE 202
San Jose, CA 95124
(408) 358-3939
✔ PECOS✔ Accepts Medicare0.2 mi
Sanaz Keyhan, MD
Obstetrics/Gynecology
NPI 1861755092
2581 SAMARITAN DR
San Jose, CA 95124
(800) 597-2234
✔ PECOS✔ Accepts Medicare0.2 mi
John Ryan, MD
Otolaryngology
NPI 1518402676
2581 SAMARITAN DR
San Jose, CA 95124
(408) 357-6090
✔ PECOS✔ Accepts Medicare0.2 mi
Shailja Mehta, MD
Female Pelvic Medicine & Reconstructive Surgery-Urogynecolog
NPI 1578982880
2577 SAMARITAN DR
San Jose, CA 95124
(650) 934-7530
✔ PECOS✔ Accepts Medicare0.2 mi
David Yeh, M.D.
Neurosurgery
NPI 1194778290
2577 SAMARITAN DR SUITE 810
San Jose, CA 95124
(408) 358-0133
✔ PECOS✔ Accepts Medicare0.2 mi
Adel Abi-Hanna, MD
Pediatric Gastroenterology
NPI 1629014576
2577 SAMARITAN DR STE 725
San Jose, CA 95124
(650) 853-4933
✔ PECOS✔ Accepts Medicare0.2 mi
Anthony Bommarito, MD
Anesthesiology
NPI 1164458725
2425 SAMARITAN DR
San Jose, CA 95124
(408) 558-2100
✔ PECOS✔ Accepts Medicare0.2 mi
Marjorie Bhogal, M.D.
Obstetrics/Gynecology
NPI 1417275116
2400 SAMARITAN DR STE 105
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts Medicare0.3 mi
Nidhi Jacob, M.D.
Obstetrics/Gynecology
NPI 1154611762
2400 SAMARITAN DR SUITE 105/SUITE 203
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts Medicare0.3 mi
Hao Nguyen, M.D.
Obstetrics/Gynecology
NPI 1750429684
2400 SAMARITAN DR STE 105
San Jose, CA 95124
(408) 523-3870
✔ PECOS✔ Accepts Medicare0.3 mi
See all 184 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1038281

Sutter Bay Medical Foundation Dba Surgery Center San Jose · San Jose, CA
Active · expires Mar 16, 2027
CLIA Number05D1038281
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorJennifer Basarab-Tung
Laboratory Phone(408) 355-1700
Laboratory LocationSutter Bay Medical Foundation Dba Surgery Center San Jose2581 Samaritan Dr Ste 308, San Jose, CA 95124
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,128 services11 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
516 services516 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
362 services362 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
282 services278 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
89 services53 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
54 services27 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sutter Bay Medical Foundation's NPI number?

The NPI number for Sutter Bay Medical Foundation is 1033817168. It was assigned to this organization in the NPPES registry on February 17, 2023. The provider is doing business as Sutter Samaritan Surgery Center.

Where is Sutter Bay Medical Foundation located?

Sutter Bay Medical Foundation is located at 2506 Samaritan Ct, San Jose, CA 95124. The listed phone number is (408) 203-3941.

What is Sutter Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Sutter Bay Medical Foundation enrolled in Medicare?

Yes. Sutter Bay Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sutter Bay Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 184 clinicians in 33 Medicare specialties reassign their Medicare billing to Sutter Bay Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology (50), Ophthalmology (17) and Nurse Practitioner (15). Of these, 6 practice at this address and 39 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sutter Bay Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1038281) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sutter Bay Medical Foundation was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.