Sutter Central Valley Hospitals

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

030000061 Issued in CA

Legal business name

SUTTER CENTRAL VALLEY HOSPITALS

Practice address

1800 Coffee Road
Ste. 110
Modesto, CA 95355-2803

Phone

(209) 569-7642

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Trent Hunter

Title

VP Shared Services

Phone

(916) 297-8555

Specialties & licenses 5

Addresses

Other identifiers 4

Other names 1

• Memorial Medical Center Opt Pharmacy Doing business as

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1407898265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740152",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740152",
            "telephone_number": "855-398-1633",
            "fax_number": "209-569-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COFFEE ROAD",
            "address_2": "STE. 110",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-569-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER CENTRAL VALLEY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TRENT",
        "authorized_official_title_or_position": "VP SHARED SERVICES",
        "authorized_official_telephone_number": "916-297-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "HSP37596",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "030000061",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "HSP37596",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "HSP37596",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "HSP37596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "050557",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB375960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0538009",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0538009",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Center Opt Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surjit Chahal DDS, Inc
• Susan Ways PHD MD Inc.
• Kristy Ann Sutherland, RN
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals
• Sutter Central Valley Hospitals
• Sutter Emergency Medical Associates
• Sutter Gould Medical Foundation

• General Acute Care Hospital in Modesto, CA
• Providers in Modesto, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.