SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1245565977
Clinical Medical Laboratory in Santa Rosa, CA

Active since October 14, 2009CLIA Certified · 7 labs
3883 AIRWAY DRIVE, SUITE 202, SANTA ROSA, CA 95403(707) 521-8900(707) 523-1302 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sutter Pacific Medical Foundation NPPES

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

SUTTER PACIFIC MEDICAL FOUNDATION (NPI 1245565977) is a healthcare organization registered as a clinical medical laboratory in Santa Rosa, California and active in the NPI registry since October 2009. The organization holds 7 active CLIA laboratory certificates and lists John B. Gates, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1245565977
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSUTTER WEST BAY MEDICAL FOUNDATION
Location Address3883 AIRWAY DRIVE, SUITE 202Santa Rosa, CA 95403-1671
Mailing Address1700 California Street, Suite 530San Francisco, CA 94109-4591
Fax(707) 523-1302
Organization SubpartYes
Authorized OfficialJohn B. GatesChief Financial Officer · (415) 600-7771
Enumeration DateOctober 14, 2009
Last NPPES UpdateMay 21, 2010
NPI 1245565977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
3883 AIRWAY DRIVE, Santa Rosa, CA 95403

Other Names 1

Doing Business AsSutter Pacific Medical Foundation

Other Identifiers 1

Medicare OSCAR/certificationCW761ACA

CLIA Laboratory Certificates CMS CLIA 7

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) 05D2107744

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Jan 20, 2028
CLIA Number05D2107744
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorDr. Michael Rockeach
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation3883 Airway Drive, Ste 120, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 05D0947288

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Oct 20, 2027
CLIA Number05D0947288
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorLinda R. Casey
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation3883 Airway Dr Ste 100, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2173692

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Oct 16, 2027
CLIA Number05D2173692
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorAna Pacheco-Clark MD
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation3883 Airway Drive Suite 202, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address 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.

Certificate of Waiver 05D2123855

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Jan 3, 2027
CLIA Number05D2123855
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorMichael Magnotti
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation3883 Airway Dr Ste 201, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0943579

Sutter Pacific Medical Foundation · San Francisco, CA
Active · expires Mar 29, 2028
CLIA Number05D0943579
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorIzumi N. Cabrera
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation1100 Van Ness Ave 4th Floor, San Francisco, CA 94109
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.

Certificate of Waiver 05D2328032

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Aug 3, 2027
CLIA Number05D2328032
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorMyles J. Ketchum
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation2360 Mendicino Av,e Suite A4, Santa Rosa, CA 95403
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Psychiatry & Neurology (Neurology)
3883 AIRWAY DRIVE, SUITE 201
SANTA ROSA, CA 95403
Family Medicine
3883 AIRWAY DRIVE, SUITE 120
SANTA ROSA, CA 95403

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 1245565977. It was assigned to this organization in the NPPES registry on October 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 3883 Airway Drive Suite 202, Santa Rosa, CA 95403. The listed phone number is (707) 521-8900.

What is Sutter West Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Sutter West Bay Medical Foundation hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sutter West Bay Medical Foundation was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.