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SUTTER GOULD MEDICAL FOUNDATION NPI 1780631820


NPI Information

NPI: 1780631820
Provider Name: SUTTER GOULD MEDICAL FOUNDATION

Doing Business As: CERES CARE CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1035050

Address:
2516 E WHITMORE AVE
CERES, CA
ZIP 95307
Phone: (209) 538-1733
Get Directions

SUTTER GOULD MEDICAL FOUNDATION is a family medicine in Ceres, 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 GOULD MEDICAL FOUNDATION NPI is 1780631820. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ceres Care Center.

The provider's business location address is:

2516 E WHITMORE AVE
CERES, CA
ZIP 95307-645
Phone: (209) 538-1733

The provider's authorized official is Steven A Mitnick .
The authorized official title is Medical Director and has the following contact phone number (209) 521-6097.

The CLIA number assigned to this NPI record is 05D1035050 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/27/2006 and was last updated on 5/6/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ20685ZMEDICARE PINCALIFORNIA
20586060018MEDICARE NSCCALIFORNIA

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

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