SUTTER BAY MEDICAL FOUNDATION
NPI 1043654486
Clinic/Center - Ambulatory Surgical in San Jose, CA
NPI Status: Active since April 27, 2013
Contact Information
2581 SAMARITAN DR
SUITE 308
SAN JOSE, CA
ZIP 95124
Phone: (408) 876-4800
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1038281
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 03-16-2027
About SUTTER BAY MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Sutter Bay Medical Foundation, a provider established in San Jose, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043654486 assigned on April 2013. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Kristin Keller (Sr. Director, Planning And Alignmen)
- NPI
- 1043654486
- Provider Name
- SUTTER BAY MEDICAL FOUNDATION
- Entity Type
- Organization
- Location Address
- 2581 SAMARITAN DR SUITE 308 SAN JOSE, CA 95124
- Location Phone
- (408) 876-4800
- Mailing Address
- 325 DISTEL CIR LOS ALTOS, CA 94022
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-27-2013
- Last Update Date
- 03-18-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1038281
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- March 17, 2025
- Certificate Expiration Date
- March 16, 2027
- Laboratory Director
- JENNIFER BASARAB-TUNG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sutter Bay Medical Foundation in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043654486, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043654486, enumerated as an "organization" on April 27, 2013.
The provider is located at 2581 SAMARITAN DR SUITE 308 SAN JOSE, CA 95124 and the phone number is (408) 876-4800.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
