Sutter Valley Hospitals

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUTTER VALLEY HOSPITALS

Practice address

100 Mission Blvd
Jackson, CA 95642-2536

Phone

(209) 223-7540

Fax

(209) 223-7543

NPI assigned

Feb 7, 2012

Organization subpart

Yes

Parent organization

SUTTER HEALTH SACRAMENTO SIERRA REGIONAs reported in NPPES

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

Authorized official

Name

James Conforti

Title

President & Ceo

Phone

(916) 887-7040

Specialties & licenses 1

Addresses

Other names 1

• Sutter Health Sacramento Sierra Region Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Sutter Immediate Care

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1164794012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160100",
            "telephone_number": "800-353-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MISSION BLVD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422536",
            "telephone_number": "209-223-7540",
            "fax_number": "209-223-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER HEALTH SACRAMENTO SIERRA REGION",
        "enumeration_date": "2012-02-07",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "CONFORTI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "916-887-7040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Health Sacramento Sierra Region",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Sutter Health Sacramento Sierra Region",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David J Stone, M.D.
• Latha Sunil Kumar, M.D
• Amber Susich
• Sutter Amador Surgery Center LLC (Sutter Amador Surgery Center)
• Sutter Amador Tcu
• Sutter Valley Hospitals (Sutter Amador Hospital)
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
• Deon Lynn Tadlock, M.D.
• Felicia Tang
• Cassidy F Tanis

• Clinical Medical Laboratory in Jackson, CA
• Providers in Jackson, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.