SUTTER VALLEY MEDICAL FOUNDATION NPI 1184859894

NPI Information

NPI: 1184859894
Provider Name: SUTTER VALLEY MEDICAL FOUNDATION

Doing Business As: SUTTER REGIONAL MEDICAL FOUNDATION

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2720 LOW CT
FAIRFIELD, CA
ZIP 94534
Phone: (707) 428-2731
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SUTTER VALLEY MEDICAL FOUNDATION is a multi-specialty clinic center in Fairfield, CA. SUTTER VALLEY MEDICAL FOUNDATION NPI is 1184859894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Regional Medical Foundation.

The provider's business location address is:

2720 LOW CT
FAIRFIELD, CA
ZIP 94534-771
Phone: (707) 428-2731
Fax: (707) 428-2740

The provider's authorized official is Krista Lopes .
The authorized official title is Sh Vp, Quality, Safety And Patient and has the following contact phone number (916) 384-7544.

The enumeration date for this NPI number is 5/26/2009 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	No
4	207V00000X	Obstetrics & Gynecology		No
5	207W00000X	Ophthalmology		No
6	207X00000X	Orthopaedic Surgery		No
7	207Y00000X	Otolaryngology		No
8	208000000X	Pediatrics		No
9	2084N0400X	Psychiatry & Neurology	Neurology	No
10	208600000X	Surgery		No
11	208800000X	Urology		No
12	213E00000X	Podiatrist		No
13	225100000X	Physical Therapist		No
14	261QM1300X	Clinic/Center	Multi-Specialty	Yes
15	363A00000X	Physician Assistant		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GCT000422	MEDICAID	CALIFORNIA
2	GPT000950	MEDICAID	CALIFORNIA
3	GCT000421	MEDICAID	CALIFORNIA
4	GPT000953	MEDICAID	CALIFORNIA
5	GSD004290	MEDICAID	CALIFORNIA
6	GR005986A	MEDICAID	CALIFORNIA
7	IDTF00410	MEDICAID	CALIFORNIA
8	GR005986B	MEDICAID	CALIFORNIA
9	GR0059865	MEDICAID	CALIFORNIA
10	GR0059869	MEDICAID	CALIFORNIA
11	D861	OTHER	CALIFORNIA	PRESUMPTIVE ELIGIBILITY
12	GR0059866	MEDICAID	CALIFORNIA
13	GR005986C	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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