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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 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: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 Leia M Sanders, Sr Director, Cred, Enroll, 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
Phone(650) 498-3600
Organization SubpartNo
Authorized OfficialLeia M SandersSr Director, Cred, Enroll, Alignmen · (650) 934-7000
Enumeration DateOctober 30, 2014
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 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
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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

312

Medicare enrollment records show 312 clinicians reassign Medicare billing to Sutter Bay Medical Foundation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 41

Anesthesiology76
Ophthalmology25
Obstetrics/Gynecology24
Nurse Practitioner22
Gastroenterology20
General Surgery20
Orthopedic Surgery17
Cardiovascular Disease (Cardiology)16
33 other specialties92

Nearest to this location (20)

See all 312
Christopher Vasil, MD
Anesthesiology
NPI 1962420471
3120 KEARNEY ST.
Fremont, CA 94538
(510) 490-1222
✔ PECOSSame address
Kevin Gersten, MD
Otolaryngology
NPI 1427094788
39650 LIBERTY ST
Fremont, CA 94538
(510) 498-2689
✔ PECOS✔ Accepts MedicareSame address
Steven Bartis, DPM
Podiatry
NPI 1003989559
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Audrey Chow, MD
Ophthalmology
NPI 1386106441
3200 KEARNEY ST
Fremont, CA 94538
(510) 498-2857
✔ PECOS✔ Accepts Medicare0.1 mi
Mai Dao, MD
Gastroenterology
NPI 1912561465
3200 KEARNEY ST
Fremont, CA 94538
(510) 498-2395
✔ PECOS✔ Accepts Medicare0.1 mi
Mei Ge, MD
Obstetrics/Gynecology
NPI 1033282660
3200 KEARNEY ST
Fremont, CA 94538
(510) 498-2196
✔ PECOS✔ Accepts Medicare0.1 mi
Suejin Kim, M.D.
Obstetrics/Gynecology
NPI 1750723524
3200 KEARNEY ST
Fremont, CA 94538
(510) 498-2182
✔ PECOS✔ Accepts Medicare0.1 mi
Thomas Kim
Hand Surgery
NPI 1003105032
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
David Lee, M.D.
Orthopedic Surgery
NPI 1871867093
3200 KEARNEY ST
Fremont, CA 94538
(510) 451-6266
✔ PECOS✔ Accepts Medicare0.1 mi
Jaclyn Wey, MD
Orthopedic Surgery
NPI 1174611917
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Amy Badger-Asaravala, M.D.
Ophthalmology
NPI 1831389089
3200 KEARNEY ST
Fremont, CA 94538
(510) 498-2857
✔ PECOS✔ Accepts Medicare0.1 mi
Ario Barzin, M.D,
Plastic and Reconstructive Surgery
NPI 1356537633
3200 KEARNEY STREET
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Anthony Dobson, MD
Reproductive Endocrinology/Infertility
NPI 1346278967
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Benjamin Halligan, MD
Sports Medicine
NPI 1972715985
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Hu, M.D.
Gastroenterology
NPI 1659339059
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Lawrence Huang, DO
Physical Medicine and Rehabilitation
NPI 1669641460
3200 KEARNEY STREET
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Ruwan Kiringoda, M.D.
Otolaryngology
NPI 1982917225
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
David Lewis, M.D.
Anesthesiology
NPI 1528077856
3200 KEARNEY ST.
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Terence Lin, MD
Interventional Cardiology
NPI 1952385403
3200 KEARNEY ST
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare0.1 mi
Kevin Mitchell, MD
General Surgery
NPI 1255388666
2000 MOWRY AVE
Fremont, CA 94538
(510) 248-1018
✔ PECOS✔ Accepts Medicare0.7 mi
See all 312 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 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.

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), 312 clinicians in 41 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 (76), Ophthalmology (25) and Obstetrics/Gynecology (24). Of these, 2 practice at this address and 37 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 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 October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.