Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sutter West Bay Medical Foundation

Organization Family Medicine Physician · NPI 1124252416

Sutter West Bay Medical Foundation is a Family Medicine Physician in San Rafael, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
5

Practice location Address checks out

750 Las Gallinas Ave #210
San Rafael, CA 94903-3438
Phone: (415) 479-7244
Fax: (415) 479-0917
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatric Nurse Practitioner Taxonomy 363LP0200X

Record details

NPI number1124252416
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSutter West Bay Medical Foundation
Authorized official John Gates — Rcfo · (415) 600-7755
Other names Sutter Pacific Medical Foundation
NPI enumeratedMay 14, 2009
Last updated in NPPESSeptember 25, 2013
Mailing addressPo Box 254947, Sacramento, CA 95865-4947

Other providers in San Rafael