SUTTER MEDICAL FOUNDATION (NPI# 1710112420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112420 |
| Entity Type | Organization |
| Organization Name | SUTTER MEDICAL FOUNDATION |
| Other Organization Name | SUTTER REGIONAL MEDICAL FOUNDATION |
| Practice Address |
770 Mason St Vacaville CA 95688-4646 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 7074545869 |
| Practice Fax Number | 7074545874 |
| Mailing Telephone | 9168546975 |
| Mailing Fax Number | 9168546844 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | MS. SARAH KREVANS (PRESIDENT) |
| Authorized Official Telephone | 9162866732 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUTTER MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 05D0998736 | CA | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | 05D0891963 | CA | Laboratories |
| Other Name | Type Code |
|---|---|
| Sutter Regional Medical Foundation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524095 | Sutter Medical Foundation | Radiology | 2800 L St Fl 7, Sacramento, CA 95816-5616 | 2010-03-18 |
| 1649404211 | Sutter Medical Foundation | Anesthesiology | 460 Plumas Boulevard Suite 202, Yuba City, CA 95991-5005 | 2009-05-11 |
| 1295092542 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2012-04-11 |
| 1134437254 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 568 N Sunrise Ave, Suite 250, Roseville, CA 95661-3097 | 2010-09-23 |
| 1568779908 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 5301 F St, 117, Sacramento, CA 95819-3226 | 2010-09-07 |
| 1548497944 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 400 Plumas Blvd, Suite 200, Yuba City, CA 95991-5081 | 2009-06-12 |
| 1619102324 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 690 Main St, Rio Vista, CA 94571-1621 | 2009-05-26 |
| 1528293230 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2009-05-26 |
| 1497980262 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2009-05-22 |
| 1336373711 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 11271 Loma Rica Rd, Marysville, CA 95901-8728 | 2009-05-13 |
| Street Address |
770 MASON ST |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703189 | Ricardo Edward Denapoli | Family Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2006-03-08 |
| 1144700436 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2018-08-16 |
| 1912434192 | Shilpa Chopra | Pediatrics | 770 Mason St, Vacaville, CA 95688-4646 | 2017-05-18 |
| 1477086320 | Michael Benjamin Olalia | Internal Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2017-04-07 |
| 1134675176 | Mariela Woods | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2016-08-30 |
| 1871964353 | Stephanie Sandeep Purewal | Physician Assistant | 770 Mason St, Vacaville, CA 95688 | 2015-10-09 |
| 1003292608 | Jeffrey Youngberg | Dentist | 770 Mason St, Suite 110, Vacaville, CA 95688-4646 | 2015-08-05 |
| 1568897718 | Holly L Pulket | Physical Therapist | 770 Mason St, Vacaville, CA 95688-4646 | 2013-09-06 |
| 1790025922 | Catherine Anthony-tkach | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2013-02-25 |
| 1932475548 | Damoon Rejaei | Physical Medicine & Rehabilitation | 770 Mason St, Vacaville, CA 95688 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801826 | Symbiotica | Clinical Medical Laboratory | 1350 Burton Dr Ste 210, Vacaville, CA 95687-3542 | 2020-08-12 |
| 1104954775 | Sutter Regional Medical Foundation | Clinical Medical Laboratory | 770 Mason St, Vacaville, CA 95688-4646 | 2007-03-02 |
| 1043358559 | Unilab Corporation | Clinical Medical Laboratory | 770 Mason St, Vacaville, CA 95688-4646 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386746 | Medlab2020 Inc | Clinical Medical Laboratory | 1594 N Main St, Orange, CA 92867-3443 | 2020-11-05 |
| 1851992127 | Predicine, Inc. | Clinical Medical Laboratory | 3555 Arden Rd, Hayward, CA 94545-3922 | 2020-11-03 |
| 1205435989 | Bioanalysis Diagnostic Laboratories | Clinical Medical Laboratory | 18173 Pioneer Blvd Ste K, Artesia, CA 90701-3988 | 2020-10-22 |
| 1164021085 | Integrated Laboratories Advisory Group, Inc. | Clinical Medical Laboratory | 7 W Figueroa St Ste 300, Santa Barbara, CA 93101-3189 | 2020-10-21 |
| 1053910273 | Onsite Phlebotomy Solutions | Clinical Medical Laboratory | 1040 S Mount Vernon Ave # G-276, Colton, CA 92324-4228 | 2020-10-19 |
| 1730787649 | Central California Testing, Inc | Clinical Medical Laboratory | 7737 Meany Ave Ste B9, Bakersfield, CA 93308-5267 | 2020-10-13 |
| 1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
| 1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
| 1588261127 | Safesite LLC | Clinical Medical Laboratory | 26660 Agoura Rd, Calabasas, CA 91302-1954 | 2020-10-07 |
| 1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUTTER 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.