Sutter West Bay Medical Foundation
NPI 1720212012ActiveOrganization· Pediatrics· Berkeley, CA
Pediatrics in Berkeley, California, registered in NPPES in May 2009, part of Sutter West Bay Medical Foundation. The authorized official on file is John Gates, Rcfo.
Overview
| NPI | 1720212012 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Sutter West Bay Medical Foundation |
| NPI issued | May 14, 2009 |
| Last updated in NPPES | Sep 25, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Internal Medicine, Hepatology | 207RI0008X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
| Ophthalmology | 207W00000X | — | — |
| Pediatrics, Pediatric Endocrinology | 2080P0205X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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