Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUTTER BAY MEDICAL FOUNDATION
NPI 1164840088
Clinic/Center - Ambulatory Surgical in San Carlos, CA

Active since March 29, 2014CLIA 05D2083511 · Waiver
301 INDUSTRIAL RD, SAN CARLOS, CA 94070(650) 596-4200 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 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 1164840088) is a healthcare organization registered as an ambulatory surgical in San Carlos, California and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 7, 2028 and lists Leia M Sanders, Sr Director, Cred, Enroll, Alignmen, as its authorized official.

NPPES Registry Identity

NPI1164840088
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUTTER BAY MEDICAL FOUNDATION
Location Address301 INDUSTRIAL RDSan Carlos, CA 94070-2603
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Organization SubpartNo
Authorized OfficialLeia M SandersSr Director, Cred, Enroll, Alignmen · (650) 934-7000
Enumeration DateMarch 29, 2014
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1164840088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
301 INDUSTRIAL RD, San Carlos, CA 94070

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

390

Medicare enrollment records show 390 clinicians reassign Medicare billing to Sutter Bay Medical Foundation, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 154 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Anesthesiology80
Obstetrics/Gynecology34
Ophthalmology28
Nurse Practitioner26
General Surgery25
Gastroenterology24
Podiatry21
Orthopedic Surgery19
37 other specialties133

Nearest to this location (20)

See all 390
Nurse Practitioner
NPI 1407225121
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4110
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1356390611
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4040
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1437315827
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 853-2250
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1205042165
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4090
✔ PECOSSame address
Hand Surgery
NPI 1114121860
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4040
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1275625832
301 INDUSTRIAL RD LEVEL 2
San Carlos, CA 94070
(650) 596-4120
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1093880171
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1760619530
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4220
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1497847248
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4130
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1619111564
301 INDUSTRIAL RD
San Carlos, CA 94070
(650) 596-4090
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1285712778
1301 SHOREWAY RD STE 100
Belmont, CA 94002
(650) 596-7000
✔ PECOS✔ Accepts Medicare0.9 mi
Podiatry
NPI 1942304381
139 ARCH ST BLDNG #1
Redwood City, CA 94062
(650) 366-3668
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1598832917
2950 WHIPPLE AVE
Redwood City, CA 94062
(650) 366-4633
✔ PECOS✔ Accepts Medicare2.4 mi
Obstetrics/Gynecology
NPI 1831267939
2950 WHIPPLE AVE
Redwood City, CA 94062
(650) 364-2864
✔ PECOS✔ Accepts Medicare2.4 mi
Obstetrics/Gynecology
NPI 1447327861
2950 WHIPPLE AVE SUITE 8
Redwood City, CA 94062
(650) 364-2142
✔ PECOS✔ Accepts Medicare2.4 mi
Anesthesiology
NPI 1225179823
1900 OFARRELL ST STE 100
San Mateo, CA 94403
(650) 645-1100
✔ PECOS✔ Accepts Medicare4.0 mi
Cardiovascular Disease (Cardiology)
NPI 1093726895
100 S SAN MATEO DR SUITE 400
San Mateo, CA 94401
(650) 696-4100
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1871661207
50 S SAN MATEO DR STE 360
San Mateo, CA 94401
(650) 652-8787
✔ PECOS✔ Accepts Medicare5.2 mi
Plastic and Reconstructive Surgery
NPI 1114933827
50 S SAN MATEO DR STE 470
San Mateo, CA 94401
(650) 652-8239
✔ PECOS✔ Accepts Medicare5.2 mi
Interventional Cardiology
NPI 1619988425
100 S SAN MATEO DR SUITE 400
San Mateo, CA 94401
(650) 696-4100
✔ PECOS✔ Accepts Medicare5.4 mi
See all 390 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 of Waiver 05D2083511

Sutter Bay Medical Foundation Surgery Center San Carlos · San Carlos, CA
Active · expires Sep 7, 2028
CLIA Number05D2083511
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 8, 2026
Certificate Expiration DateSeptember 7, 2028
Laboratory DirectorJoseph Andersen
Laboratory Phone(650) 596-4200
Laboratory LocationSutter Bay Medical Foundation Surgery Center San Carlos301 Industrial Rd, San Carlos, CA 94070
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 35

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.
9,048 services64 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.
306 services305 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.
271 services271 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.
218 services213 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.
124 services80 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
77 services69 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 1164840088. It was assigned to this organization in the NPPES registry on March 29, 2014.

Where is Sutter Bay Medical Foundation located?

Sutter Bay Medical Foundation is located at 301 Industrial Rd, San Carlos, CA 94070. The listed phone number is (650) 596-4200.

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), 390 clinicians in 45 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 (80), Obstetrics/Gynecology (34) and Ophthalmology (28). Of these, 10 practice at this address and 154 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 of Waiver (number 05D2083511) is associated with this NPI, valid through September 7, 2028. 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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.