Organization Active NPI

Sutter Regional Medical Foundation

  • Mammography Clinic/Center
  • Rio Vista, CA
National Provider Identifier
1053404905
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
SUTTER REGIONAL MEDICAL FOUNDATION
Practice address
690 Main St
Rio Vista, CA 94571-1621
Phone
(707) 374-6833
Fax
(707) 434-2089
NPI assigned
Oct 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Appenzeller
Title
Chief Operating Officer
Phone
(707) 434-2049

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Mammography Clinic/Center 261QR0206X NU Primary

Addresses

Primary practice location

690 Main St
Rio Vista, CA 94571-1621

Mailing address

PO Box 254978
Sacramento, CA 95865-4978

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1053404905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254978",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958654978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MAIN ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711621",
            "telephone_number": "707-374-6833",
            "fax_number": "707-434-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER REGIONAL MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "APPENZELLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "707-434-2049"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.