SUTTER GOULD MEDICAL FOUNDATION (NPI# 1316190796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316190796 |
| Entity Type | Organization |
| Organization Name | SUTTER GOULD MEDICAL FOUNDATION |
| Other Organization Name | STOCKTON SURGERY CENTER |
| Practice Address |
8011 Don Ave Stockton CA 95209 |
| Practice Telephone | 2099553047 |
| Mailing Telephone | 2099553047 |
| Mailing Fax Number | 2094739382 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | DR. STEVEN A MITNICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2095216097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stockton Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235576885 | Sutter Gould Medical Foundation | Pharmacist | 2160 Encinal Ave, Alameda, CA 94501-4322 | 2013-05-22 |
| 1104083377 | Sutter Gould Medical Foundation | Radiology | 3585 Gorge Pl, Carlsbad, CA 92010-7083 | 2008-05-16 |
| 1124068879 | Sutter Gould Medical Foundation | Family Medicine | 800 Douglas Rd, Stockton, CA 95207-3607 | 2006-06-08 |
| 1316993611 | Sutter Gould Medical Foundation | Radiology | 3846 Cascadia Ave S, Seattle, WA 98118-1129 | 2006-05-26 |
| 1528362050 | Sutter Gould Medical Foundation | Clinic/Center | 415 E Harding Way, Suite E, Stockton, CA 95204-6118 | 2010-12-23 |
| 1588803373 | Sutter Gould Medical Foundation | Clinic/Center | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2009-02-18 |
| 1285886515 | Sutter Gould Medical Foundation | Clinical Medical Laboratory | 600 Coffee Rd, Modesto, CA 95355-4201 | 2008-10-17 |
| 1154352771 | Sutter Gould Medical Foundation | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2006-07-05 |
| 1982648580 | Sutter Gould Medical Foundation | Family Medicine | 1335 S Fairmont Ave, Lodi, CA 95240-5520 | 2006-06-15 |
| 1477593176 | Sutter Gould Medical Foundation | Dermatology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2006-06-08 |
| Street Address |
8011 DON AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825844 | Sutter Valley Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209-2841 | 2015-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| 1467412809 | Jill Michelle Henderzahs-mason | Physical Therapist | 1716 W Hammer Lane, Stockton, CA 95209 | 2006-03-27 |
| Find all providers in zip 95209 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625995 | National Surgical Centers Stockton, LLC | Clinic/Center | 415 E Harding Way Ste E, Stockton, CA 95204-6118 | 2020-06-25 |
| 1609041813 | Dental Surgery Centers of America | Clinic/Center | 1523 E March Ln Ste A, Stockton, CA 95210-5607 | 2008-04-29 |
| 1225138647 | American Dental Surgery Centers, Inc. | Clinic/Center | 1523 E. March Ln., Suite 100, Stockton, CA 95210-5663 | 2006-09-25 |
| 1730112178 | San Joaquin Laser and Surgery Center Inc | Clinic/Center | 1805 N California St Ste 101a, Stockton, CA 95204-6032 | 2006-07-09 |
| 1245285857 | Ambulatory Surgery Center of Eager Steven E Md Gen Ptr | Clinic/Center | 2388 N California St, Stockton, CA 95204-5506 | 2006-05-23 |
| 1619974219 | St. Joseph's Surgery Center Lp | Clinic/Center | 1800 N California St, Ste 1, Stockton, CA 95204-6019 | 2005-06-28 |
| 1417405234 | Psc Stockton Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2016-09-21 |
| 1467825844 | Sutter Valley Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209-2841 | 2015-11-05 |
| 1598158487 | California Street Outpatient Surgery Center, LLC | Clinic/Center | 1805 N California St, Suite 405, Stockton, CA 95204-6037 | 2015-03-17 |
| 1982942298 | Stockton Outpatient Surgery Center LLC | Clinic/Center | 2388 N California St, Stockton, CA 95204-5506 | 2013-01-21 |
| Find all providers in STOCKTON | ||||
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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.