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SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1619101912
Internal Medicine - Nephrology in Las Vegas, NV

Active since May 14, 2009
3006 S MARYLAND PKWY, #470, LAS VEGAS, NV 89109(702) 796-9111(702) 792-9112 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 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 1619101912) is a healthcare organization registered as a nephrology in Las Vegas, Nevada and active in the NPI registry since May 2009. The organization lists John Gates, Rcfo, as its authorized official.

NPPES Registry Identity

NPI1619101912
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSUTTER WEST BAY MEDICAL FOUNDATION
Location Address3006 S MARYLAND PKWY, #470Las Vegas, NV 89109-2218
Mailing AddressPo Box 254947Sacramento, CA 95865-4947 · (916) 854-6975 · Fax (916) 854-6844
Phone(702) 796-9111
Fax(702) 792-9112
Organization SubpartYes
Authorized OfficialJohn GatesRcfo · (415) 600-7755
Enumeration DateMay 14, 2009
Last NPPES UpdateSeptember 25, 2013
✔ NPI 1619101912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X
3006 S MARYLAND PKWY, Las Vegas, NV 89109
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Other Names 1

Doing Business AsSutter Pacific Medical Foundation

Other Identifiers 3

Medicaid100511636 RENONV
Medicaid100511635 LAS VEGASNV
Medicare PINV103970NV

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERIE LIN D.O.
Internal Medicine
3006 S MARYLAND PKWY, SUITE 400
LAS VEGAS, NV 89109
Clark County (702) 369-5582
DR. IKRAM U KHAN MD
Surgery
3006 S MARYLAND PKWY, SUITE 465
LAS VEGAS, NV 89109
Clark County (702) 595-1059
UNIVERSITY OF NV SCHOOL MULTISPECIALTY GROUP PRACTICE SOUTH INC
Pediatrics
3006 S MARYLAND PKWY, 320
LAS VEGAS, NV 89109
Clark County (702) 992-6868
HUGH S SELZNICK M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
3006 S MARYLAND PKWY, 570
LAS VEGAS, NV 89109
Clark County (702) 777-2663
TAMMY L ROPER R.N.
Registered Nurse
3006 S MARYLAND PKWY, 690
LAS VEGAS, NV 89109
Clark County (702) 732-1290
SAMMIE K YAMAGATA R.N.
Registered Nurse
3006 S MARYLAND PKWY, SUITE 690
LAS VEGAS, NV 89109
Clark County (702) 732-1290
WENDY H. KING M.D.
Pediatrics
3006 S MARYLAND PKWY, 315
LAS VEGAS, NV 89109
Clark County (702) 992-6868
DR. PORNPIMON BOONYAKIAT M.D.
Pediatrics
3006 S MARYLAND PKWY, STE 270
LAS VEGAS, NV 89109
Clark County (702) 369-6161

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 1619101912. It was assigned to this organization in the NPPES registry on May 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 3006 S Maryland Pkwy #470, Las Vegas, NV 89109. The listed phone number is (702) 796-9111.

What is Sutter West Bay Medical Foundation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Sutter West Bay Medical Foundation was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.