SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1205150356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205150356 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Practice Address |
3161 L St Sacramento CA 95816-5234 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167317857 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | BRIDGET D PARKER (MANAGER, CREDENTIALING) |
| Authorized Official Telephone | 9168877398 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| 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 |
3161 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397772 | Christopher Chong | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2005-06-24 |
| 1548723836 | Diagnostic Pathology Medical Group, Inc. | Pathology | 3161 L St, Sacramento, CA 95816-5234 | 2019-04-12 |
| 1770902710 | Allen Li | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2014-04-07 |
| 1942641162 | Benjamin G Coombs | Internal Medicine | 3161 L St, Sacramento, CA 95816 | 2013-07-16 |
| 1699021378 | Henry M Andoh Jr. | Radiology | 3161 L St, Sacramento, CA 95816 | 2012-07-31 |
| 1558649152 | Ruchir Chaudhari | Radiology | 3161 L St, Sacramento, CA 95816 | 2011-07-30 |
| 1174815849 | Vladimir Merunka | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2011-05-12 |
| 1629367073 | Rajkamal Singh Khangura | Radiology | 3161 L St, Sacramento, CA 95816 | 2011-04-06 |
| 1124330303 | Julie Koo | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2010-07-05 |
| 1396068573 | Margaret Sandra Hsu Taghavi | Radiology | 3161 L St, Sacramento, CA 95816-5234 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246209 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 3111 S St Apt 307, Sacramento, CA 95816-7065 | 2018-08-22 |
| 1992210850 | Jessica Deyanira Izquierdo | Radiology | 8233 Scottsdale Dr, Sacramento, CA 95828-4530 | 2017-12-13 |
| 1184153629 | Iv Radiology Medical Group | Radiology | 4608 T St, Sacramento, CA 95819-4744 | 2017-06-08 |
| 1396086443 | Vincent L Quilici | Radiology | 3601 Meadow Ln, Sacramento, CA 95864-1522 | 2013-03-13 |
| 1740416544 | Himaja Peddi | Radiology | 2800 L Street, Suite 610, Sutter Medical Foundation, Sacramento, CA 95816-5616 | 2009-06-08 |
| 1679735666 | Kathleen Khong | Radiology | 4860 Y St # 3100, Sacramento, CA 95817-2307 | 2008-06-30 |
| 1548443807 | Alexander M Kane | Radiology | 509 21st St, Sacramento, CA 95811-1118 | 2007-12-10 |
| 1245420447 | Jeffrey Steven Fountain | Radiology | 816 D St, Apt 13, Sacramento, CA 95814-0719 | 2007-07-25 |
| 1487856704 | Kamran Ahmed | Radiology | 2800 L Street Suite 610, Sacramento, CA 95816 | 2007-06-01 |
| 1548485733 | Tien Hong Tran | Radiology | 2800 L St Ste 610, Sacramento, CA 95816-5616 | 2007-04-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.