SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1104194927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104194927 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER MEDICAL FOUNDATION PIONEER HEALTH CENTER |
| Practice Address |
24685 Highway 88 Pioneer CA 95666 |
| Mailing Address |
2750 Gateway Oaks Drive Suite 310 Sacramento CA 95833-3658 |
| Practice Telephone | 2092577500 |
| Practice Fax Number | 2092577501 |
| Mailing Telephone | 9168877398 |
| Mailing Fax Number | 9165033886 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2016-02-11 |
| Authorized Official Name | KRISTIN L HALLMARK (DIRECTOR, PHYSICIAN SERVICES) |
| Authorized Official Telephone | 9168877312 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 058502 | 05 |
| Other Name | Type Code |
|---|---|
| Sutter Medical Foundation Pioneer Health Center | Doing Business As Name - Organization |
| 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 |
| 1053891341 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2018-08-16 |
| 1477912517 | Sutter Valley Medical Foundation | Surgery | 924 S Fairmont Ave, Lodi, CA 95240-5119 | 2016-02-17 |
| Street Address |
24685 HIGHWAY 88 |
| City | PIONEER |
| State | CA |
| Zip Code | 95666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245563816 | Gail Leanne Watkins | Physician Assistant | 24685 State Hwy 88, Pioneer, CA 95666 | 2009-09-14 |
| 1043456528 | Kathleen Castelli | Licensed Vocational Nurse | 22690 Rocky Lane, Pioneer, CA 95666 | 2009-01-05 |
| 1174705008 | Maureen Sayre | Registered Nurse | 25595 Meadow Dr., Pioneer, CA 95666 | 2007-12-03 |
| 1144437997 | Laura J Imperial | Durable Medical Equipment & Medical Supplies | 13976 Hilltop, Pine Grove, CA 95666 | 2007-05-17 |
| 1396871752 | Yelena Aleksandria Miller | Social Worker | 6015, Watt Ave, CA 95666 | 2007-02-27 |
| 1871636167 | Lawrence Michael Palladino | Family Medicine | 24685 State Highway 88, Pioneer Health Center, Pioneer, CA 95666 | 2007-02-15 |
| 1902970510 | Christopher Joseph Schiappa | Dentist | 16401 Meadow Vista Drive, #103, Pioneer, CA 95666 | 2006-11-17 |
| 1265436513 | Todd William Berg | Pharmacist | 18421 Circle View Dr, Pioneer, CA 95666-8816 | 2005-06-01 |
| 1881227338 | Ashley Y Garner | Non-emergency Medical Transport (VAN) | 18592 Inspiration Dr W, Pioneer, CA 95666-9427 | 2020-02-12 |
| 1346369790 | Sharon Eileen Skujins | Counselor | 27678 Gretchen Ln, Pioneer, CA 95666-9637 | 2007-03-28 |
| Find all providers in zip 95666 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
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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.