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Sutter Valley Medical Foundation

Organization Active NPI Durable Medical Equipment & Medical Supplies · Stockton, CA

NPI 1063887883 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1063887883
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Practice address
2545 W Hammer LN
Stockton, CA 95209-2839
Phone
(209) 957-7050
NPI assigned
Dec 4, 2015
Organization subpart
No

Authorized official

Name
Kristin Keller
Title
Sr. Director, Planning and Alignmen
Phone
(650) 934-7000

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Practitioners 2,473

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,473

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160531002097 CA DME Supplier - Multi-Specialty - Physician 9830094515 Practice locations: Stockton, CA

National Provider Directory

Tax ID family
Sutter Medical Foundation North Bay (36 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207N00000X
Emergency Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207P00000X
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207V00000X
Orthopaedic Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207X00000X
Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208600000X
Urology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208800000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

2545 W Hammer LN
Stockton, CA 95209-2839

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (209) 524-1211

Other names

  • Stockton Medical Plaza Specialty Care Doing business as

Other providers in Stockton, CA

All providers in Stockton, CA · Durable Medical Equipment & Medical Supplies in California

Sources for this page

Verify at the official NPI Registry.