SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1124252416
Pediatrics in San Rafael, CA

Q: What is Sutter West Bay Medical Foundation's NPI number?

The NPI number for Sutter West Bay Medical Foundation is 1124252416. It was assigned to this organization in the NPPES registry on May 14, 2009. The provider is doing business as Sutter Pacific Medical Foundation.

Q: What is Sutter West Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 14, 2009

750 LAS GALLINAS AVE, #210, SAN RAFAEL, CA 94903(415) 479-7244(415) 479-0917 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sutter Pacific Medical Foundation NPPES

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

SUTTER PACIFIC MEDICAL FOUNDATION (NPI 1124252416) is a healthcare organization registered as a pediatrics in San Rafael, California and active in the NPI registry since May 2009. The organization lists John Gates, Rcfo, as its authorized official.

NPPES Registry Identity

NPI1124252416

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSUTTER WEST BAY MEDICAL FOUNDATION

Location Address750 LAS GALLINAS AVE, #210San Rafael, CA 94903-3438

Mailing AddressPo Box 254947Sacramento, CA 95865-4947 · (916) 854-6975 · Fax (916) 854-6844

Phone(415) 479-7244

Fax(415) 479-0917

Organization SubpartYes

Authorized OfficialJohn GatesRcfo · (415) 600-7755

Enumeration DateMay 14, 2009

Last NPPES UpdateSeptember 25, 2013

✔ NPI 1124252416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

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 development.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X

750 LAS GALLINAS AVE, San Rafael, CA 94903

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Other Names 1

Doing Business AsSutter Pacific Medical Foundation

Other Identifiers 1

Medicare PINBE510CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EZRA H KANTOR DDS

Dentist

750 LAS GALLINAS AVE
SAN RAFAEL, CA 94903

Marin County (415) 492-1616

DR. MICHAEL GERALD DAB D.D.S.

Dentist (General Practice)

750 LAS GALLINAS AVE, STE 111
SAN RAFAEL, CA 94903

Marin County (415) 472-5211

BENSON TOY

Pharmacy (Community/Retail Pharmacy)

750 LAS GALLINAS AVE, STE 104
SAN RAFAEL, CA 94903

Marin County (415) 479-1930

DR. IGOR OCHEV DDS

Dentist (General Practice)

750 LAS GALLINAS AVE, SUITE 210
SAN RAFAEL, CA 94903

Marin County (415) 499-1717

DR. MASON Y. LEE DDS, APC

Oral & Maxillofacial Surgery

750 LAS GALLINAS AVE, SUITE #207
SAN RAFAEL, CA 94903

Marin County (415) 472-5040

THERESA KAMLER C.M.T.

Massage Therapist

750 LAS GALLINAS AVE, SUITE 202
SAN RAFAEL, CA 94903

Marin County (415) 299-2440

ALBERT CHESTER GOLDBERG MD

Pediatrics

750 LAS GALLINAS AVE, STE 210
SAN RAFAEL, CA 94903

Marin County (415) 479-7244

ALAN BRENNER KIMELMAN MD INC

Physical Medicine & Rehabilitation

750 LAS GALLINAS AVE
SAN RAFAEL, CA 94903

Marin County (415) 485-4463

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 West Bay Medical Foundation's NPI number?

The NPI number for Sutter West Bay Medical Foundation is 1124252416. It was assigned to this organization in the NPPES registry on May 14, 2009. The provider is doing business as Sutter Pacific Medical Foundation.

Where is Sutter West Bay Medical Foundation located?

Sutter West Bay Medical Foundation is located at 750 Las Gallinas Ave #210, San Rafael, CA 94903. The listed phone number is (415) 479-7244.

What is Sutter West Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Sutter West Bay Medical Foundation was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.