1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Family Medicine
  6. NPI Profile

SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1346575073
Family Medicine in Santa Rosa, CA

Active since October 14, 2009CLIA Certified · 3 labs
3883 AIRWAY DRIVE, SUITE 120, SANTA ROSA, CA 95403(707) 521-8966(707) 523-1301 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 1346575073) is a healthcare organization registered as a family medicine in Santa Rosa, California and active in the NPI registry since October 2009. The organization holds 3 active CLIA laboratory certificates and lists John B. Gates, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1346575073
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUTTER WEST BAY MEDICAL FOUNDATION
Location Address3883 AIRWAY DRIVE, SUITE 120Santa Rosa, CA 95403-1678
Mailing Address1700 California Street, Suite 530San Francisco, CA 94109-4591
Phone(707) 521-8966
Fax(707) 523-1301
Organization SubpartYes
Authorized OfficialJohn B. GatesChief Financial Officer · 41560007771
Enumeration DateOctober 14, 2009
Last NPPES UpdateMay 21, 2010
✔ NPI 1346575073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedRadiologic TechnologistTaxonomy 247100000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
3883 AIRWAY DRIVE, Santa Rosa, CA 95403
Open in Google Maps ↗

Other Names 1

Doing Business AsSutter Pacific Medical Foundation

Other Identifiers 4

Medicare OSCAR/certificationCO467A
MedicaidGR00055421CA
MedicaidGR0091420CA
MedicaidGR0055425CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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) 05D0671299

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Nov 20, 2027
CLIA Number05D0671299
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorRobert Heckey MD
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation4700 Hoen Ave, Santa Rosa, CA 95405
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0611607

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Oct 2, 2026
CLIA Number05D0611607
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorCharlotte Carlson MD
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation2455 Summerfield Road, Santa Rosa, CA 95405
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0677613

Sutter Pacific Medical Foundation · Santa Rosa, CA
Active · expires Aug 31, 2026
CLIA Number05D0677613
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRenee A. Armstrong
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation131 Stony Circle, Santa Rosa, CA 95401
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 for Provider-Performed Microscopy Procedures (PPMP) 05D0943254

Sutter Pacific Medical Foundation · Santa Rosa, CA
Expired · Aug 2, 2026
CLIA Number05D0943254
Laboratory TypePhysician Office
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorAna Pacheco-Clark
Laboratory Phone(707) 523-7220
Laboratory LocationSutter Pacific Medical Foundation4702 Hoen Ave, Santa Rosa, CA 95405
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.

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.

SUTTER WEST BAY MEDICAL FOUNDATION
Clinical Medical Laboratory
3883 AIRWAY DRIVE, SUITE 202
SANTA ROSA, CA 95403
Sonoma County (707) 521-8900
JOHN RICHARD MENDIUS M.D.
Psychiatry & Neurology (Neurology)
3883 AIRWAY DRIVE, SUITE 201
SANTA ROSA, CA 95403
Sonoma County (707) 521-7788

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 1346575073. 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 120, Santa Rosa, CA 95403. The listed phone number is (707) 521-8966.

What is Sutter West Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sutter West Bay Medical Foundation hold CLIA laboratory certificates?

Yes. 3 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.