SUTTER VALLEY MEDICAL FOUNDATION (NPI# 1528433349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528433349 |
| Entity Type | Organization |
| Organization Name | SUTTER VALLEY MEDICAL FOUNDATION |
| Other Organization Name | SUTTER GOULD MEDICAL FOUNDATION |
| Practice Address |
3100 West Christoffersen Parkway Turlock CA 95382-9547 |
| Mailing Address |
2700 Gateway Oaks Dr Suite 2200 Sacramento CA 95833-4337 |
| Practice Telephone | 2096323901 |
| Mailing Telephone | 9168877040 |
| Mailing Fax Number | 9168877041 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2020-01-23 |
| 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 | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sutter Gould Medical Foundation | 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 |
3100 WEST CHRISTOFFERSEN PARKWAY |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-9547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700869815 | Marina L. Apellanes | Pediatrics | 3100 West Christoffersen Parkway, Turlock, CA 95382-9547 | 2005-11-22 |
| 1427347590 | Marilou Orpilla Ostrea | Pediatrics | 3100 West Christoffersen Parkway, Turlock, CA 95382-9547 | 2011-03-29 |
| 1982800199 | Edmond Ghahramani | Family Medicine | 3100 West Christoffersen Parkway, Turlock, CA 95382 | 2007-06-25 |
| 1023065133 | Sutter Gould Medical Foundation | Emergency Medicine | 3100 West Christoffersen Parkway, Turlock, CA 95382-9547 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
| Find all providers in zip 95382 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912061045 | Randall Jay Paul | Family Medicine | 500 W F St, Employee Health Services, Turlock, CA 95380-5963 | 2006-12-21 |
| 1073691572 | Susan P. Le | Family Medicine | 2010 Colorado Ave, Turlock, CA 95382-2002 | 2006-11-01 |
| 1265528673 | Kathleen Kearns | Family Medicine | 800 Delbon Avenue, Turlock, CA 95382 | 2006-10-04 |
| 1336231406 | Michael L. Brodie | Family Medicine | 2211 N Johnson Rd, Turlock, CA 95382-6723 | 2006-09-28 |
| 1235181736 | Michael Lee Brodie | Family Medicine | 1145 Geer Rd, Turlock, CA 95380-3381 | 2006-05-16 |
| 1972551786 | Ying Luo | Family Medicine | 1015 E Main St, Turlock, CA 95380-3406 | 2006-05-04 |
| 1790765428 | Rodney J Avilla | Family Medicine | 2101 Geer Rd, #303, Turlock, CA 95382 | 2006-01-19 |
| 1336147040 | Rafael R Soria | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2005-07-07 |
| 1538782602 | Tabitha Rebecca James | Family Medicine | 825 Delbon Ave, Turlock, CA 95382-2016 | 2020-05-24 |
| 1679002398 | Edrees Mateen | Family Medicine | 3100 W Christoffersen Pkwy, Turlock, CA 95382-9547 | 2017-06-06 |
| Find all providers in TURLOCK | ||||
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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.