Active NPI
Sutter Regional Medical Foundation
- Clinical Medical Laboratory
- Vacaville, CA
National Provider Identifier
1104954775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SUTTER REGIONAL MEDICAL FOUNDATION
- Practice address
- 770 Mason St
Vacaville, CA 95688-4646 - Phone
- (707) 454-5869
- Fax
- (707) 454-5874
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
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) 428-2731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
770 Mason St
Vacaville, CA 95688-4646
Mailing address
PO Box 254978
Sacramento, CA 95865-4978
Phone (800) 470-0071
National Provider Directory
National Provider DirectoryLocations
3505 Lone Tree Way
Ste 2
Antioch, CA 94509
Phone (925) 757-5790
100 Hospital Dr
#2
Vallejo, CA 94589
Phone (707) 551-3600
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fairfield, CA
- NPI 1770670085
-
- Internal Medicine Physician
- Antioch, CA
- NPI 1649290206
-
- Diagnostic Radiology Physician
- Antioch, CA
- NPI 1932141801
-
- Internal Medicine Physician
- Loveland, CO
- NPI 1598724437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1104954775",
"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",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MASON ST",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884646",
"telephone_number": "707-454-5869",
"fax_number": "707-454-5874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER REGIONAL MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "APPENZELLER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "707-428-2731"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.