SUTTER BAY MEDICAL FOUNDATION
NPI 1194685198
Clinic/Center - Ambulatory Surgical in Santa Clara, CA

NPI Status: Active since November 13, 2025

Contact Information

2451 MISSION COLLEGE BLVD
SANTA CLARA, CA
ZIP 95054
Phone: (650) 934-7000

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2323156
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-30-2027

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 Santa Clara, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1194685198 assigned on November 2025. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kristin Keller (Senior Director Plannng And Alignme)

NPI
1194685198
Provider Name
SUTTER BAY MEDICAL FOUNDATION
Entity Type
Organization
Location Address
2451 MISSION COLLEGE BLVD SANTA CLARA, CA 95054
Location Phone
(650) 934-7000
Mailing Address
PO BOX 276950 SACRAMENTO, CA 95827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2025
Last Update Date
11-13-2025
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTIN KELLER

Authorized Official Title
SENIOR DIRECTOR PLANNNG AND ALIGNME
Authorized Official Phone
(650) 934-7000

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
05D2323156
Facility Type
Physician Office
Certificate Effective Date
May 01, 2025
Certificate Expiration Date
April 30, 2027
Laboratory Director
REBECCA FAZILAT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sutter Bay Medical Foundation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1194685198, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 6 → 12 → 3 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 2 + 8 + 1 + 0 + 1 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1194685198.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194685198, enumerated as an "organization" on November 13, 2025.

The provider is located at 2451 MISSION COLLEGE BLVD SANTA CLARA, CA 95054 and the phone number is (650) 934-7000.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.