SUTTER REGIONAL MEDICAL FOUNDATION NPI 1558388504

NPI Information

NPI: 1558388504
Provider Name: SUTTER REGIONAL MEDICAL FOUNDATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2720 LOW COURT
FAIRFIELD, CA
ZIP 94534
Phone: (707) 426-3911
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SUTTER REGIONAL MEDICAL FOUNDATION is a family medicine in Fairfield, CA. The provider is 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. SUTTER REGIONAL MEDICAL FOUNDATION NPI is 1558388504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2720 LOW COURT
FAIRFIELD, CA
ZIP 94534-727
Phone: (707) 426-3911
Fax: (707) 436-2507

The provider's authorized official is Carolyn Appenzeller .
The authorized official title is Chief Operating Officer and has the following contact phone number (707) 434-2049.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 2/26/2008.

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	207R00000X	Internal Medicine		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	No
3	207V00000X	Obstetrics & Gynecology		No
4	207W00000X	Ophthalmology		No
5	207X00000X	Orthopaedic Surgery		No
6	207Y00000X	Otolaryngology		No
7	208000000X	Pediatrics		No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	208600000X	Surgery		No
10	208800000X	Urology		No
11	213E00000X	Podiatrist		No
12	225100000X	Physical Therapist		No
13	363A00000X	Physician Assistant		No
14	363L00000X	Nurse Practitioner		No
15	207Q00000X	Family Medicine		Yes

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	ZZZ32231Z	MEDICARE ID-TYPE UNSPECIFIED
2	GR0059869	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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