SUTTER BAY MEDICAL FOUNDATION
NPI 1306560842
Clinical Medical Laboratory in San Carlos, CA

NPI Status: Active since September 28, 2022

Contact Information

301 INDUSTRIAL RD
SAN CARLOS, CA
ZIP 94070
Phone: (650) 596-4250

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  • Organization
  • Clinical Medical Laboratory
  • CLIA Number: 05D2185251
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-31-2025

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 San Carlos, California operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1306560842 assigned on September 2022. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The provider's . The authorized official of this NPI record is Kristin Keller (Sr. Director, Planning And Alignmen)

NPI
1306560842
Provider Legal Name
SUTTER BAY MEDICAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
301 INDUSTRIAL RD SAN CARLOS, CA 94070
Location Phone
(650) 596-4250
Mailing Address
PO BOX 276950 SACRAMENTO, CA 95827
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-28-2022
Last Update Date
03-18-2026
Code Navigator

Establishments like Sutter Bay 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.

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
SR. DIRECTOR, PLANNING AND ALIGNMEN
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
05D2185251
Facility Type
Physician Office
Certificate Effective Date
May 10, 2022
Certificate Expiration Date
October 31, 2025
Laboratory Director
SUSAN T. BUTLER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Sutter Bay Medical Foundation after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 1306560842, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 0 → 0 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 0 + 6 + 1 + 0 + 6 + 0 + 8 + 8 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1306560842.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Nurse Practitioner
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Genetic Counselor, MS
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Internal Medicine
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Family Medicine
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SAN CARLOS, CA 94070
Family Medicine
301 INDUSTRIAL RD, 3RD FLOOR
SAN CARLOS, CA 94070
Physical Therapist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Nurse Practitioner
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Physical Therapist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Optometrist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Family Medicine
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Physical Therapist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Podiatrist (Foot Surgery)
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Internal Medicine
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Physical Medicine & Rehabilitation
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Physical Therapist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Pediatrics
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Optometrist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Family Medicine
301 INDUSTRIAL RD
SAN CARLOS, CA 94070
Physical Therapist
301 INDUSTRIAL RD
SAN CARLOS, CA 94070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306560842, enumerated as an "organization" on September 28, 2022.

The provider is located at 301 INDUSTRIAL RD SAN CARLOS, CA 94070 and the phone number is (650) 596-4250.

Clinical Medical Laboratory with taxonomy code 291U00000X.