OrganizationActive
Sutter Bay Medical Foundation
NPI 1861843955 · Hepatology Physician · San Jose, CA
Provider details
- NPI number
- 1861843955
- Entity type
- Organization
- Primary specialty
- Hepatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Keller, Sr. Director, Planning and Alignmen(650) 934-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
3880 S Bascom Ave Ste 113
San Jose, CA 95124-2600
Phone: (408) 832-5498
Fax: (408) 927-5421
Street-level locationGet directions
Mailing address
Po Box 276950
Sacramento, CA 95827-6950
Other names (DBA / former)
- Doing business as
- Sutter Pacific Medical Foundation
Registry dates
- Enumerated
- 2016-06-29
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.