SUTTER GOULD MEDICAL FOUNDATION (NPI# 1588803373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588803373 |
| Entity Type | Organization |
| Organization Name | SUTTER GOULD MEDICAL FOUNDATION |
| Other Organization Name | BRIGGSMORE SPECIALTY CENTER AMBULATORY SURGICAL CENTER |
| Practice Address |
1409 E Briggsmore Ave Modesto CA 95355-2707 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2095241211 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2010-08-04 |
| 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 |
|---|---|---|---|---|---|
| N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
10022 | CA | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Briggsmore Specialty Center Ambulatory Surgical 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 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 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 |
| 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 |
1409 E BRIGGSMORE AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290416 | Jaimie C Cossey | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2005-10-26 |
| 1235763228 | Sarah Shaheen | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2020-02-27 |
| 1306476908 | Anyka Kylene Kindy | Technician, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2020-01-22 |
| 1982260402 | John Bernard Mills Jr. | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2019-05-10 |
| 1619464666 | Barbara Jean Huizar | Specialist/Technologist, Other | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2018-04-16 |
| 1346615150 | Sutter Valley Medical Foundation | Clinic/Center | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
| 1144695958 | Sutter Valley Medical Foundation | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-12-04 |
| 1669860110 | Brenda Mwesigwa | Registered Nurse | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-01-07 |
| 1861895278 | David Ronald Boone | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2014-09-30 |
| 1801226873 | Muhammad A Shafqet | Internal Medicine | 1409 E Briggsmore Ave, Modesto, CA 95355 | 2013-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525912 | Summit Surgery Center Modesto, Inc | Clinic/Center | 654 Lyell Dr, Modesto, CA 95356-8997 | 2019-08-29 |
| 1376893784 | San Joaquin Valley Surgery Center | Clinic/Center | 1524 Mchenry Ave Ste 240, Modesto, CA 95350-4566 | 2012-09-12 |
| 1255529756 | Christopher F Amsden Medical Corporation | Clinic/Center | 1524 Mchenry Ave Ste 465, Modesto, CA 95350-4574 | 2007-10-09 |
| 1356463913 | Modesto Surgery Center Inc | Clinic/Center | 400 E Orangeburg Ave Ste 1, Modesto, CA 95350-5342 | 2007-04-04 |
| 1538280284 | Physicians Surgery Center of Modesto Inc | Clinic/Center | 609 E Orangeburg Ave # B, Modesto, CA 95350-5580 | 2007-04-02 |
| 1235106782 | Valley Surgery Center At Modesto, LLC | Clinic/Center | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 | 2006-03-03 |
| 1013480128 | Spine and Pain Treatment Medical Center of Santa Barbara Inc. | Clinic/Center | 1130 Coffee Rd Bldg 5, Modesto, CA 95355-4228 | 2019-01-11 |
| 1265859573 | Modesto Specialty Surgery Center, PC | Clinic/Center | 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2014-03-25 |
| 1427474394 | Sylvan Surgical Center, LLC | Clinic/Center | 1524 Mchenry Ave, Suite 240, Modesto, CA 95350-4500 | 2014-03-14 |
| 1659542561 | Christopher F Amsden Md | Clinic/Center | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2008-03-19 |
| Find all providers in MODESTO | ||||
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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.