SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1467825844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467825844 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Other Organization Name | STOCKTON SURGERY CENTER |
| Practice Address |
8011 Don Ave Stockton CA 95209-2841 |
| Mailing Address |
2700 Gateway Oaks Dr Suite 2200 Sacramento CA 95833-4337 |
| Practice Telephone | 2099553001 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | STEVEN A. MITNICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2095216097 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| 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 |
|---|---|---|---|---|
| 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 |
8011 DON AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 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 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 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 |
| 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.