SUTTER BAY MEDICAL FOUNDATION
NPI 1306241534
Clinic/Center - Ambulatory Surgical in Fremont, CA

Active since October 30, 2014CLIA 05D2095231 · Waiver
3120 KEARNEY ST, FREMONT, CA 94538(650) 498-3600 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1306241534) is a healthcare organization registered as an ambulatory surgical in Fremont, California and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Kristin Keller, Sr. Director, Planning And Alignmen, as its authorized official.

NPPES Registry Identity

NPI1306241534
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSUTTER BAY MEDICAL FOUNDATION
Location Address3120 KEARNEY STFremont, CA 94538-2292
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Organization SubpartNo
Authorized OfficialKristin KellerSr. Director, Planning And Alignmen · (650) 934-7000
Enumeration DateOctober 30, 2014
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
NPI 1306241534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3120 KEARNEY ST, Fremont, CA 94538

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 05D2095231

Sutter Bay Medical Foundation Surgery Center Fremont · Fremont, CA
Active · expires May 3, 2027
CLIA Number05D2095231
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorPeter T. Nose
Laboratory Phone(650) 404-8455
Laboratory LocationSutter Bay Medical Foundation Surgery Center Fremont3120 Kearney St, Fremont, CA 94538
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

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.

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.
399 services398 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
374 services231 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.
328 services327 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
181 services95 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.
160 services159 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.
151 services95 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 1306241534. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Sutter Bay Medical Foundation located?

Sutter Bay Medical Foundation is located at 3120 Kearney St, Fremont, CA 94538. The listed phone number is (650) 498-3600.

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.

Does Sutter Bay Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2095231) is associated with this NPI, valid through May 3, 2027. 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 March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.