NPIMap

Organization Active NPI

Sutter Valley Medical Foundation

Doing business as SGMF Radiology

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1174997407
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Doing business as
SGMF Radiology
Practice address
2995 American River LN
Las Vegas, NV 89135-1713
Phone
(209) 521-6097
NPI assigned
Nov 24, 2015
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Leia M Sanders
Title
Sr Director, Cred, Enroll, Alignmen
Phone
(650) 934-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2995 American River LN
Las Vegas, NV 89135-1713

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

3846 Cascadia Ave S
Seattle, WA 98118-1129
Phone (209) 524-1211

Other names 1

  • SGMF Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OH, MA, DC, PA, CO, FL, IN, NY, OR, KY, TX, MD, NV, WA, AZ, VA, OK, KS, MN, MI, PR, IL, RI, NE, WI26 enrollments

Enrollment records 26

Enrollment IDStateProvider typePAC IDDetails
O20100505000759 HI Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Kaneohe, HI; Kihei, HI
O20100506000589 OH Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Norwood, OH
O20100519000222 MA Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Winchester, MA; Newton, MA; Hopkinton, MA; Brighton, MA; Boston, MA; Acton, MA; Cambridge, MA
O20100521000895 DC Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Arlington, VA; Gaithersburg, MD; Potomac, MD; Washington, DC
O20100527000019 PA Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Doylestown, PA; Girard, PA; Glen Mills, PA; Philadelphia, PA
O20100603000790 CO Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Denver, CO
O20100608000617 FL Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Windermere, FL; St Petersburg, FL; Oviedo, FL; Orlando, FL; Miami Beach, FL
O20100712000118 IN Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20100728000874 NY Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Poughkeepsie, NY; Valley Stream, NY
O20101109001484 OR Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Bend, OR; Newberg, OR
O20101122000656 KY Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Louisville, KY
O20101206000588 TX Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
Practice locations: Plano, TX; Sugar Land, TX; Spring, TX; San Antonio, TX; Prosper, TX; Houston, TX; Dallas, TX
O20160310000182 MD Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Gaithersburg, MD; Towson, MD; Potomac, MD; Pikesville, MD; Laurel, MD; Berlin, MD; Bel Air, MD
O20160330001311 NV Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20160331001730 WA Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bothell, WA; Seattle, WA; Kirkland, WA; Bellevue, WA
O20160331001994 AZ Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Paradise Valley, AZ; Scottsdale, AZ
O20160401001900 VA Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 3 practitioners
Practice locations: Suffolk, VA; Williamsburg, VA; Leesburg, VA
O20200128000090 OK Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK
O20200206000501 KS Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20200226000913 MN Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth, MN; Edina, MN
O20231129001049 MI Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Ann Arbor, MI; Grand Rapids, MI
O20240127000494 PR Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20240710001546 IL Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Chicago, IL
O20250501002859 RI Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: East Greenwich, RI
O20251202001965 NE Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE
O20260105000337 WI Part B Supplier - Clinic/Group Practice 9830094515 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Whitefish Bay, WI

Other NPIs with the same Medicare PAC ID 23

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

View all 23

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Sutter Valley Medical Foundation
    • Diagnostic Radiology Physician
    • Sacramento, CA
    • NPI 1205150356

    O20100505000759, O20100519000222, O20100521000895, O20100527000019, O20100603000790, O20100608000617, O20100728000874, O20101109001484, O20101122000656, O20101206000588

    Same enrollment
  • Sutter Valley Medical Foundation

    dba Sutter Gould Medical Foundation

    • Multi-Specialty Clinic/Center
    • Modesto, CA
    • NPI 1669846986

    O20101206000588

    Same enrollment
  • Sutter Valley Medical Foundation
    • Multi-Specialty Clinic/Center
    • Sacramento, CA
    • NPI 1952327256

    O20100506000589, O20100519000222, O20100527000019, O20100603000790, O20100608000617, O20101109001484, O20101206000588, O20160310000182, O20160331001730, O20160331001994, O20231129001049, O20240710001546, O20250501002859, O20260105000337

    Same enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1174997407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 AMERICAN RIVER LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351713",
            "telephone_number": "209-521-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3846 Cascadia Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981181129",
            "country_code": "US",
            "telephone_number": "209-524-1211",
            "fax_number": "916-887-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LEIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR DIRECTOR, CRED, ENROLL, ALIGNMEN",
        "authorized_official_telephone_number": "650-934-7000"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SGMF Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.