Sutter Bay Medical Foundation
NPI 1033817168 · Ambulatory Surgical Clinic/Center · San Jose, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sutter Bay Medical Foundation is a Ambulatory Surgical Clinic/Center organization in San Jose, CA (NPI 1033817168).
Provider details
- NPI number
- 1033817168
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Sutter Bay Medical Foundation
- Organization subpart
- Yes
- Authorized official
- Melody States, Executive Director(916) 566-4771
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,636 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 2,128 | $1 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 516 | $633 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 362 | $865 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 282 | $466 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 89 | $569 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sutter Samaritan Surgery Center
Registry dates
- Enumerated
- 2023-02-17
- Last updated
- 2023-02-17
- Certified
- 2023-02-14
Frequently asked questions
- What is Sutter Bay Medical Foundation's NPI number?
- Sutter Bay Medical Foundation's National Provider Identifier (NPI) is 1033817168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sutter Bay Medical Foundation?
- Sutter Bay Medical Foundation is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sutter Bay Medical Foundation located?
- Sutter Bay Medical Foundation's practice location on file with NPPES is 2506 Samaritan Ct, San Jose, CA 95124-4001.
- What is Sutter Bay Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Sutter Bay Medical Foundation is (408) 203-3941.
- Does Sutter Bay Medical Foundation accept Medicare?
- Sutter Bay Medical Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sutter Bay Medical Foundation?
- The authorized official listed on Sutter Bay Medical Foundation's NPPES record is Melody States, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sutter Bay Medical Foundation's NPI active?
- Yes — Sutter Bay Medical Foundation's NPI (1033817168) is active in the NPPES registry as of the last update on 2023-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.