SUTTER VALLEY MEDICAL FOUNDATION


Address: 2995 American River Ln, Las Vegas, NV 89135-1713
Phone: 2095216097

SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1174997407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174997407
Entity Type Organization
Organization Name SUTTER VALLEY MEDICAL FOUNDATION
Other Organization Name SGMF RADIOLOGY
Practice Address 2995 American River Ln
Las Vegas
NV 89135-1713
Mailing Address 2700 Gateway Oaks Dr
Suite 2200
Sacramento
CA 95833-4337
Practice Telephone 2095216097
Mailing Telephone (916) 887-7040
Mailing Fax Number 9168877041
Enumeration Date 2015-11-24
Last Update Date 2018-03-17
Authorized Official Name STEVEN A MITNICK (MEDICAL DIRECTOR)
Authorized Official Telephone 2095216097
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SGMF Radiology Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
3846 Cascadia Ave S, Seattle, WA 981181129 2095241211 9168877041

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154777431 Sutter Valley Medical Foundation Clinical Medical Laboratory 8 Medical Plaza Dr., 300, Roseville, CA 95661 2016-05-05
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
1386003424 Sutter Valley Medical Foundation Surgery 445 W Eaton Ave, Tracy, CA 95376-3420 2016-02-17

Office Location

Street Address 2995 AMERICAN RIVER LN
City LAS VEGAS
State NV
Zip Code 89135-1713

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033743083 Summerlin Medical Durable Medical Equipment & Medical Supplies 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 2020-02-28
1902363344 Arle Troy Ceniza Jumalon Physical Therapist 10401 West Charleston Blvd, Las Vegas, NV 89135 2019-02-21
1952887473 Randon Ralph Pharmacist 10250 W.charleston Blvd, Las Vegas, NV 89135 2018-07-17
1528463981 Century Vision Center, Chtd. Optometrist 10870 W. Charleston Blvd, Ste 105, Las Vegas, NV 89135 2014-10-28
1669808390 Nourollah Ghahreman Internal Medicine 3291 Mission Creek Court, Las Vegas, NV 89135 2013-09-26
1033485560 Jessica L Benesh Speech-Language Pathologist 11053 Crystal Crest Court, Las Vegas, NV 89135 2012-03-29
1053696237 Jaclyn Latteri Pharmacist 5442 Nettle Way, Las Vegas, NV 89135 2011-10-19
1235384033 Nancee Larson Registered Nurse 3418 Antique Rose Drive, Lasvegas, NV 89135 2008-11-20
1528250966 Manish P Gupta Internal Medicine 66 Hawkridge Drive, Las Vegas, NV 89135 2007-08-09
1205036134 Albertsons LLC Durable Medical Equipment & Medical Supplies 11720 W Charleston Blvd, Las Vegas, NV 89135 2007-07-19
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346860624 Smi Imaging LLC Radiology 7455 W Washington Ave Ste 120, Las Vegas, NV 89128-4338 2020-04-16
1548807274 Smi Imaging LLC Radiology 3560 W Flamingo Rd, Ste 100, Las Vegas, NV 89121-5088 2019-12-02
1316583297 Smi Imaging LLC Radiology 8530 W Sunset Rd Ste 120, Las Vegas, NV 89113-2244 2019-11-26
1114563095 Smi Imaging LLC Radiology 7540 Oso Blanca Rd Ste 140, Las Vegas, NV 89149-1417 2019-11-26
1396381273 Smi Imaging LLC Radiology 7610 W Cheyenne Ave Ste 100, Las Vegas, NV 89129-6761 2019-11-26
1740826627 Smi Imaging LLC Radiology 3061 S Maryland Pkwy Ste 102, Las Vegas, NV 89109-6226 2019-11-26
1366000622 6radiology Radiology 11266 Parleys Cone Ct, Las Vegas, NV 89135-1839 2019-06-03
1396271698 Cheryl Jayne Radiology 2225 Scarlet Rose Dr, Las Vegas, NV 89134-5905 2017-05-04
1467879205 Ross Leon Prujan Radiology 11663 Glowing Sunset Ln, Las Vegas, NV 89135-1659 2014-03-18
1821362740 Kenton E Kagy Radiology 722 Catalina Aisle St, Las Vegas, NV 89138-4608 2012-02-24
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Competitor

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City LAS VEGAS
Zip Code 89135

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Dataset Information

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.

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