SUTTER CENTRAL VALLEY HOSPITALS (NPI# 1629059746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629059746 |
| Entity Type | Organization |
| Organization Name | SUTTER CENTRAL VALLEY HOSPITALS |
| Other Organization Name | MEMORIAL MEDICAL CENTER |
| Practice Address |
1700 Coffee Rd Modesto CA 95355-2803 |
| Mailing Address |
Po Box 740152 Los Angeles CA 90074-0152 |
| Practice Telephone | 2095264500 |
| Mailing Telephone | 8553981633 |
| Mailing Fax Number | 2095727772 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2016-04-21 |
| Authorized Official Name | JOHN GATES (CFO SHBA) |
| Authorized Official Telephone | 5104507357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 05D0609849 | CA | Laboratories |
| Y | 282N00000X | General Acute Care Hospital | 030000061 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR00154F | 05 | |
| CA | HSC00557F | 05 | |
| CA | ZZR00603F | 05 | |
| CA | HSP40557F | 05 | |
| CA | MTA00603F | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1033352125 | Sutter Central Valley Hospitals | General Acute Care Hospital | 520 W I Street, Los Banos, CA 93635-3419 | 2009-04-20 |
| 1326062613 | Sutter Central Valley Hospitals | Home Health | 1316 Celeste Ave., Modesto, CA 95355 | 2006-07-27 |
| 1043246747 | Sutter Central Valley Hospitals | Pharmacy | 1800 Coffee Rd, Suite 110, Modesto, CA 95355-2705 | 2006-06-24 |
| 1407898265 | Sutter Central Valley Hospitals | Home Infusion | 1800 Coffee Road, Ste. 110, Modesto, CA 95355-2803 | 2006-06-12 |
| 1770943276 | Sutter Central Valley Hospitals | Clinical Medical Laboratory | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-02-26 |
| 1528202090 | Sutter Central Valley Hospitals | Clinic/Center | 400 W I St Ste C, Los Banos, CA 93635-3459 | 2009-04-28 |
| 1770726861 | Sutter Central Valley Hospitals | General Acute Care Hospital | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2009-04-20 |
| 1982678587 | Sutter Central Valley Hospitals | Emergency Medicine | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2006-02-13 |
| Street Address |
1700 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962732 | Nicole Laura | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-27 |
| 1275153314 | Christopher Lucas | Pharmacist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-04-18 |
| 1366077323 | Nicole Kathleen Boere | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2020-03-10 |
| 1235770165 | P. Curly Johnson | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-10-02 |
| 1932758596 | Samantha Megan Allen | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-09-06 |
| 1215592324 | Brittany Henson | Physical Therapist | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2019-05-03 |
| 1306317987 | Jacob John Verhoeven | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-08 |
| 1164992277 | Jessica Chan | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-12-01 |
| 1851875397 | John Paul Blanchard | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2018-09-20 |
| 1528574993 | Laura Eileen Starrh | Nurse Practitioner | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2017-12-21 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768982 | O & D Surgical and Medical Solutions Inc. | General Acute Care Hospital | 140 East Grager Avenue, Suite B, Modesto, CA 95350-4347 | 2012-12-26 |
| 1891046892 | Doctors Medical Center | General Acute Care Hospital | 3032 Montgomery Ln, Modesto, CA 95355-7997 | 2012-10-01 |
| 1962710954 | Tammy Elkins, Phd | General Acute Care Hospital | 802 14th St Ste G, Modesto, CA 95354-1029 | 2010-09-23 |
| 1386775021 | Jacqueline Parker | General Acute Care Hospital | 405 Ramsey Dr, Modesto, CA 95356-1778 | 2007-03-07 |
| 1245368653 | A.whitebread Rnfa | General Acute Care Hospital | 1702 Sandalwood Dr, Modesto, CA 95350-3819 | 2007-02-28 |
| 1760532758 | Employee Assistance Program | General Acute Care Hospital | 1316 Celeste Dr, 220, Modesto, CA 95355-2434 | 2007-01-11 |
| 1437121886 | Stanislaus Surgical Hospital LLC | General Acute Care Hospital | 1421 Oakdale Rd, Modesto, CA 95355-3359 | 2006-02-01 |
| 1699129601 | Sutter Valley Hospitals | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-04-15 |
| 1346621349 | Sutter Health | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-16 |
| 1659712586 | Hospitalists of Modesto Medical Group | General Acute Care Hospital | 1441 Florida Ave, Hospitalists of Modesto Medical Group, Modesto, CA 95350-4404 | 2013-07-08 |
| 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.