Active NPI
Sutter Valley Medical Foundation
Doing business as Sutter Gould Medical Foundation
- Surgery Physician
- Tracy, CA
National Provider Identifier
1386003424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SUTTER VALLEY MEDICAL FOUNDATION
- Doing business as
- Sutter Gould Medical Foundation
- Practice address
- 445 W Eaton Ave
Tracy, CA 95376-3420 - Phone
- (209) 830-4062
- NPI assigned
- Feb 17, 2016
- Organization subpart
- Yes
- Parent organization
- SUTTER HEALTH
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
445 W Eaton Ave
Tracy, CA 95376-3420
Mailing address
2700 Gateway Oaks Dr
Suite 2200
Sacramento, CA 95833-4337
Other names 1
- Sutter Gould Medical Foundation
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0704200 | Sutter Gould Medical Foundation - | Provider-performed microscopy | Sep 29, 2026 |
| 05D2146683 | Sutter Gould Medical Foundation | Compliance | Sep 30, 2027 |
| 05D2264641 | Sutter Gould Medical Foundation- | Provider-performed microscopy | Jul 17, 2028 |
National Provider Directory
National Provider Directory- Part of
- Sutter Health Shared Laboratory
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1386003424",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 W EATON AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "953763420",
"telephone_number": "209-830-4062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER HEALTH",
"enumeration_date": "2016-02-17",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"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": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sutter Gould Medical Foundation",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sutter Gould Medical Foundation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tracy, CA
- Sutter Central Valley Hospitals (Sutter Tracy Community Hospital)
- Sutter Central Valley Hospitals (Sutter Tracy Community Hospital)
- Sutter Tracy Community Hospital
- Sutter Valley Hospitals (Sutter Tracy Community Hospital)
- Sutter Valley Medical Foundation (Tracy Care Center)
- Sutter Valley Medical Foundation
- Sutter Visiting Nurse Association and Hospice
- Sutter Visiting Nurse Association and Hospice
- Sutter Visiting Nurse Association and Hospice
- Ashley Sutton
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.