Sutter Pacific Medical Foundation - Primary Care in San Rafael, CA

Sutter Pacific Medical Foundation is a primary clinic (Pediatrics) in San Rafael, California. The current practice location for Sutter Pacific Medical Foundation is 750 Las Gallinas Ave, #210, San Rafael, California. For appointments, you can reach them via phone at (415) 479-7244. The mailing address for Sutter Pacific Medical Foundation is Po Box 254947, Sacramento, California and phone number is (916) 854-6975.

Sutter Pacific Medical Foundation is licensed to practice in * (Not Available) (license number ) and its NPI number is 1124252416. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (415) 479-7244.

Contact Information

Sutter Pacific Medical Foundation
750 Las Gallinas Ave
#210
San Rafael
CA 94903-3438
(415) 479-7244
(415) 479-0917

Primary Care Clinic Profile

Full NameSutter Pacific Medical Foundation
SpecialityPediatrics
Location750 Las Gallinas Ave, San Rafael, California
Authorized Official Name and PositionJohn Gates (RCFO)
Authorized Official Contact4156007755
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sutter Pacific Medical Foundation
Po Box 254947
Sacramento
CA 95865-4947

Ph: (916) 854-6975
Sutter Pacific Medical Foundation
750 Las Gallinas Ave
#210
San Rafael
CA 94903-3438

Ph: (415) 479-7244

NPI Details:

NPI Number1124252416
Provider Enumeration Date05/14/2009
Last Update Date09/25/2013

Medical Identifiers

Medical identifiers for Sutter Pacific Medical Foundation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124252416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Primary
363LP0200XNurse Practitioner - Pediatrics (* (Not Available))Secondary

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