SUTTER PACIFIC MEDICAL FOUNDATION
NPI 1104370253
Pediatrics in Berkeley, CA

NPI Status: Active since August 06, 2016

Contact Information

3000 COLBY ST STE 205
BERKELEY, CA
ZIP 94705
Phone: (510) 776-4143
Fax: (510) 486-1478

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  • Organization
  • Pediatrics

About SUTTER PACIFIC MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Sutter Pacific Medical Foundation, a pediatrician established in Berkeley, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1104370253 assigned on August 2016. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated one year ago. Sutter Pacific Medical Foundation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sutter Pacific Medical Foundation. The authorized official of this NPI record is Krista Lopes (Sh Vp, Quality, Safety, Patient Edu)

NPI
1104370253
Provider Legal Name
SUTTER BAY MEDICAL FOUNDATION
Other Organization Name
SUTTER PACIFIC MEDICAL FOUNDATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3000 COLBY ST STE 205 BERKELEY, CA 94705
Location Phone
(510) 776-4143
Location Fax
(510) 486-1478
Mailing Address
PO BOX 276950 SACRAMENTO, CA 95827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2016
Last Update Date
10-28-2024
Code Navigator

A pediatrician like Sutter Pacific 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)
1207RI0008XAllopathic & Osteopathic Physicians

Internal Medicine
Hepatology

 
2207RN0300XAllopathic & Osteopathic Physicians

Internal Medicine
Nephrology

 
3207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
42080P0205XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Endocrinology

 

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

KRISTA LOPES

Authorized Official Title
SH VP, QUALITY, SAFETY, PATIENT EDU
Authorized Official Phone
(916) 384-7544

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104370253
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104670210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 6 + 7 + 0 + 2 + 1 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1104370253 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437165214 TOM C YU MD
Individual
Anesthesiology3000 COLBY ST STE 205
BERKELEY, CA 94705
(510) 666-0854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104370253, enumerated in the NPI registry as an "organization" on August 06, 2016

The provider is located at 3000 Colby St Ste 205 Berkeley, Ca 94705 and the phone number is (510) 776-4143

This medical organization specializes in Pediatrics with taxonomy code 208000000X

This NPI record was last updated on August 06, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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