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Sutter Valley Medical Foundation

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

NPI 1083949341 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1083949341
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Practice address
3 Medical Plaza Dr Ste 100
Roseville, CA 95661-3088
Phone
(916) 781-5188
NPI assigned
Oct 5, 2009
Organization subpart
Yes
Parent organization (as reported)
SUTTER MEDICAL FOUNDATION

Authorized official

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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
O20120620000436 CA DME Supplier - Independently-Practicing Occupational Therapist 9830094515 Practice locations: Roseville, CA

National Provider Directory

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3 Medical Plaza Dr Ste 100
Roseville, CA 95661-3088

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other identifiers

IdentifierTypeStateIssuer
GPT001680MedicaidCA

Other providers in Roseville, CA

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

Sources for this page

Verify at the official NPI Registry.