SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1053891341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053891341 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Practice Address |
2702 Low Ct Fairfield CA 94534-9771 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 7074322660 |
| Practice Fax Number | 7074322661 |
| Mailing Telephone | 8666810736 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | BRIDGET D PARKER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9168877398 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154777431 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 8 Medical Plaza Dr., 300, Roseville, CA 95661 | 2016-05-05 |
| 1174997407 | Sutter Valley Medical Foundation | Radiology | 2995 American River Ln, Las Vegas, NV 89135-1713 | 2015-11-24 |
| 1972877264 | Sutter Valley Medical Foundation | Clinic/Center | 8200 Laguna Blvd, Elk Grove, CA 95758-7956 | 2012-03-04 |
| 1831467653 | Sutter Valley Medical Foundation | Clinic/Center | 9279 Locust Street, Plymouth, CA 95669 | 2011-12-07 |
| 1225363567 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 11930 Heritage Oak Pl Ste 8and9, Auburn, CA 95603-2458 | 2009-10-05 |
| 1770688129 | Sutter Valley Medical Foundation | Clinical Medical Laboratory | 1625 Stockton Blvd Ste 208, Sacramento, CA 95816-7092 | 2006-09-13 |
| 1952327256 | Sutter Valley Medical Foundation | Family Medicine | 2700 Gateway Oaks Dr, Sacramento, CA 95833-4337 | 2006-07-14 |
| 1144700436 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2018-08-16 |
| 1477912517 | Sutter Valley Medical Foundation | Surgery | 924 S Fairmont Ave, Lodi, CA 95240-5119 | 2016-02-17 |
| 1386003424 | Sutter Valley Medical Foundation | Surgery | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2016-02-17 |
| Street Address |
2702 LOW CT |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960966 | Marlene H Freeman | Obstetrics & Gynecology | 2702 Low Ct, Dept of Ob/gyn, Fairfield, CA 94534-9771 | 2006-02-09 |
| 1932664893 | Jessica Mary Dillon | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2019-02-05 |
| 1740631753 | Vanessa-june Ruthchiet Pontillas | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2016-06-30 |
| 1275910291 | Ann Leu Thomas | Ophthalmology | 2702 Low Ct, Fairfield, CA 94534-9771 | 2015-04-28 |
| 1891039301 | Allison Elise Ringuette | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-11-21 |
| 1639425721 | Jennifer Marie Longoria | Occupational Therapy Assistant | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-07-26 |
| 1881952737 | Frances Lee | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534 | 2012-04-29 |
| 1184993289 | Kristen Mary Judson | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2011-12-19 |
| 1336432384 | Michele Dernay | Physician Assistant | 2702 Low Ct, Fairfield, CA 94534-9771 | 2011-05-24 |
| 1124319470 | Michael John Pfisterer | Otolaryngology | 2702 Low Ct, Fairfield, CA 94534 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678438 | Smart Choice Medical LLC | Durable Medical Equipment & Medical Supplies | 1305 Post Rd Ste 205, Fairfield, CT 06824-6016 | 2019-03-15 |
| 1851816482 | Aperion Care Fairfield LLC | Durable Medical Equipment & Medical Supplies | 305 Nw 11th St, Fairfield, IL 62837-1203 | 2017-08-04 |
| 1073963468 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 505 Watt Dr, Suite 3, Fairfield, CA 94534-1791 | 2016-06-15 |
| 1174924484 | Harriet Stricklen | Durable Medical Equipment & Medical Supplies | 3345 Spyglass Ct, Fairfield, CA 94534-8310 | 2014-09-07 |
| 1346687456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2590 N Texas St, Fairfield, CA 94533-1606 | 2013-05-30 |
| 1477899011 | Criticare Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 277 Fairfield Rd Ste 102d, Fairfield, NJ 07004-1931 | 2013-01-01 |
| 1508139106 | Diabetic Headquarters Inc. | Durable Medical Equipment & Medical Supplies | 8695 Seward Road, Fairfield, OH 45011-9716 | 2012-02-14 |
| 1154617215 | Senior Care Pharmacy Services Fairfield Inc | Durable Medical Equipment & Medical Supplies | 4950 Fulton Dr, Suite A and B, Fairfield, CA 94534-1615 | 2011-06-27 |
| 1497045892 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 330 Grasmere Avenue, Fairfield, CT 06824 | 2011-04-19 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.