Active NPI
Sutter Valley Medical Foundation
- Clinical Medical Laboratory
- Modesto, CA
National Provider Identifier
1285009035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D0610690
- Legal business name
- SUTTER VALLEY MEDICAL FOUNDATION
- Practice address
- 600 Coffee Rd
Modesto, CA 95355-4201 - Phone
- (209) 524-1211
- NPI assigned
- Dec 4, 2015
- 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
- Kristin Keller
- Title
- Sr. Director, Planning and Alignmen
- Phone
- (650) 934-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D0610690 | CA | Primary |
Addresses
Primary practice location
600 Coffee Rd
Modesto, CA 95355-4201
Mailing address
2700 Gateway Oaks Dr
Suite 2200
Sacramento, CA 95833-4337
Phone (916) 887-7040
Other names 1
- SGMF Independent Clinical Laboratory
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070214000399 | CA | Part B Supplier - Independent Clinical Laboratory | 9830094515 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Modesto, CA; Sacramento, CA; Yuba City, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Yuba City, CA
- NPI 1063646446
O20070214000399
-
- Clinical Medical Laboratory
- Sacramento, CA
- NPI 1770688129
O20070214000399
-
- Clinical Medical Laboratory
- Santa Rosa, CA
- NPI 1861693566
O20070214000399
National Provider Directory
National Provider DirectoryLocations
3814 Auburn Blvd
Sacramento, CA 95821
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Stockton, CA
- NPI 1326219965
-
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1891741310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1285009035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GATEWAY OAKS DR",
"address_2": "SUITE 2200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958334337",
"telephone_number": "916-887-7040",
"fax_number": "916-887-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-524-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-04",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "KELLER",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "SR. DIRECTOR, PLANNING AND ALIGNMEN",
"authorized_official_telephone_number": "650-934-7000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D0610690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SGMF Independent Clinical Laboratory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SGMF Independent Clinical Laboratory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.