SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1245565977
Clinical Medical Laboratory in Santa Rosa, CA
NPI Status: Active since October 14, 2009
Contact Information
3883 AIRWAY DRIVE
SUITE 202
SANTA ROSA, CA
ZIP 95403
Phone: (707) 521-8900
Fax: (707) 523-1302
- Organization
- Clinical Medical Laboratory
- CLIA Number: 05D2107744
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-20-2028
About SUTTER PACIFIC MEDICAL FOUNDATION
This page provides the complete NPI Profile along with additional information for Sutter Pacific Medical Foundation, a provider established in Santa Rosa, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1245565977 assigned on October 2009. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Sutter Pacific Medical Foundation. The authorized official of this NPI record is Mr. John B. Gates (Chief Financial Officer)
- NPI
- 1245565977
- Provider Legal Name
- SUTTER WEST BAY MEDICAL FOUNDATION
- Other Organization Name
- SUTTER PACIFIC MEDICAL FOUNDATION
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3883 AIRWAY DRIVE SUITE 202 SANTA ROSA, CA 95403
- Location Phone
- (707) 521-8900
- Location Fax
- (707) 523-1302
- Mailing Address
- 1700 CALIFORNIA STREET SUITE 530 SAN FRANCISCO, CA 94109
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-14-2009
- Last Update Date
- 05-21-2010
- Code Navigator
Establishments like Sutter Pacific Medical Foundation are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.
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
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CW761A | MEDICARE OSCAR/CERTIFICATION (06) | CA |
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
- 05D2107744
- Facility Type
- Physician Office
- Certificate Effective Date
- January 21, 2026
- Certificate Expiration Date
- January 20, 2028
- Laboratory Director
- DR. MICHAEL ROCKEACH
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sutter Pacific 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 1245565977, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
SANTA ROSA, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245565977, enumerated as an "organization" on October 14, 2009.
The provider is located at 3883 AIRWAY DRIVE SUITE 202 SANTA ROSA, CA 95403 and the phone number is (707) 521-8900.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
