SUTTER BAY MEDICAL FOUNDATION
NPI 1760833834
Pediatrics in San Rafael, CA

NPI Status: Active since June 29, 2016

Contact Information

750 LAS GALLINAS AVE STE 210
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 479-7244
Fax: (415) 479-0917

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  • Organization
  • Pediatrics

About SUTTER BAY MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Sutter Bay Medical Foundation, a pediatrician established in San Rafael, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1760833834 assigned on June 2016. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated March 2026. Sutter Bay Medical Foundation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Kristin Keller (Sr. Director, Planning And Alignmen)

NPI
1760833834
Provider Legal Name
SUTTER BAY MEDICAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
750 LAS GALLINAS AVE STE 210 SAN RAFAEL, CA 94903
Location Phone
(415) 479-7244
Location Fax
(415) 479-0917
Mailing Address
PO BOX 276950 SACRAMENTO, CA 95827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2016
Last Update Date
03-18-2026
Code Navigator

A pediatrician like Sutter Bay Medical Foundation is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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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

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

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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 1760833834, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
4
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 6 → 12 → 3 8 → 16 → 7 3 → 6 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 6 + 3 + 6 + 8 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1760833834.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760833834, enumerated as an "organization" on June 29, 2016.

The provider is located at 750 LAS GALLINAS AVE STE 210 SAN RAFAEL, CA 94903 and the phone number is (415) 479-7244.

Pediatrics with taxonomy code 208000000X.