<Unavail>

LBN: Sutter West Bay Medical Foundation
<Unavail> is an health care organization with primary practice located at 750 Las Gallinas Ave #210, San Rafael CA 94903-3438. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Sutter West Bay Medical Foundation can be contacted via phone (415) 479-7244, or through Gates, John via phone (415) 600-7755.

Contact Information

Primary practice address
750 Las Gallinas Ave #210 San Rafael CA 94903-3438
Phone: (415) 479-7244
Fax: (415) 479-0917
Website:
Map and Directions
Authorized official contact:
Name: Gates, John Doctor of Medicine (MD)
Phone: (415) 600-7755

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X

Profile Details

NPI number 1124252416
LBN Legal business name Sutter West Bay Medical Foundation
DBA Doing business as <Unavail>
Authorized official Gates, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 14th, 2009
Last updated Sep 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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