Organization Active NPI

Sutter Regional Medical Foundation

  • Clinical Medical Laboratory
  • Vacaville, CA
National Provider Identifier
1104954775
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Dec 12, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.