SUTTER GOULD MEDICAL FOUNDATION (NPI# 1972559094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972559094 |
| Entity Type | Organization |
| Organization Name | SUTTER GOULD MEDICAL FOUNDATION |
| Other Organization Name | GENERATIONS CARE CENTER ST 2F |
| Practice Address |
83 W March Ln Stockton CA 95207-5730 |
| Mailing Address |
600 Coffee Rd Modesto CA 95355-4201 |
| Practice Telephone | 2099449799 |
| Mailing Telephone | 2095241211 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | STEVEN A MITNICK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2095216097 |
| Authorized Official Credential | MD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0081440 | 05 |
| Other Name | Type Code |
|---|---|
| Generations Care Center St 2F | 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 |
| 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 |
| Street Address |
83 W MARCH LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407023781 | Mai T. Vu D.d.s.,inc. | Dentist | 83 W March Ln, Suite #6, Stockton, CA 95207-5730 | 2008-05-14 |
| 1184275786 | Kristen Dannielle Riley | Dental Hygienist | 83 W March Ln, Stockton, CA 95207-5730 | 2019-09-25 |
| 1932633930 | Community Medical Centers, Inc | Clinic/Center | 83 W March Ln, Stockton, CA 95207-5730 | 2017-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649496597 | Geny B. Burgos M. D. Inc. | Pediatrics | 1801 E March Ln Ste C340, Stockton, CA 95210-6629 | 2007-04-18 |
| 1164588463 | Beverly Morgan | Pediatrics | 2233 Grand Canal Blvd Ste 105, Stockton, CA 95207-8117 | 2006-12-29 |
| 1427128990 | Kamela Taheri | Pediatrics | 1721 E Hammer Ln, Stockton, CA 95210-4124 | 2006-11-09 |
| 1316025810 | Loan K. Bui-thompson | Pediatrics | 2349 N. California St., Stockton, CA 95204-5505 | 2006-11-01 |
| 1265534416 | Blesilda Palado Esteves | Pediatrics | 75 West March Lane, Ste K, Stockton, CA 95207 | 2006-09-01 |
| 1790799575 | Hilario Sabarillo Esguerra IIi | Pediatrics | 73 W March Lane Suite F, Stockton, CA 95207 | 2006-07-28 |
| 1811918931 | Stockton Pediatric Med. Group, Inc. | Pediatrics | 2349 N California St, Stockton, CA 95204-5505 | 2006-07-22 |
| 1376574616 | Susan M Abraham | Pediatrics | 1414 N California St, Stockton, CA 95202-1515 | 2006-07-05 |
| 1154359172 | Bryant Bennett Williams Jr. | Pediatrics | 1339 S Madison St, Stockton, CA 95206-1751 | 2006-06-29 |
| 1851328991 | Charles Robert Mccormick | Pediatrics | 1240 W Robinhood Dr, Suite G, Stockton, CA 95207-5507 | 2006-06-26 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on SUTTER GOULD MEDICAL FOUNDATION.
| 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.