Organization Active NPI

Sutter North Medical Foundation

  • Clinical Medical Laboratory
  • Yuba City, CA
National Provider Identifier
1477653129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF 799 Issued in CA
Legal business name
SUTTER NORTH MEDICAL FOUNDATION
Practice address
440 Plumas Blvd
Yuba City, CA 95991-5071
Phone
(530) 749-3303
NPI assigned
Sep 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Yamamoto
Title
Chief Executive Officer
Phone
(530) 749-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF 799 CA Primary

Addresses

Primary practice location

440 Plumas Blvd
Yuba City, CA 95991-5071

Mailing address

969 Plumas St
Ste 205
Yuba City, CA 95991-4011
Phone (530) 749-3661

Other identifiers 1

IdentifierTypeStateIssuer
LAB44214FMedicaidCA

Other names 1

  • Sutter North Medical Foundation Laboratory Doing business as

National Provider Directory

National Provider Directory

Locations

2702 Low Ct
Fairfield, CA 94534
Phone (707) 432-2600

3425 Coffee Rd
Ste A2
Modesto, CA 95355
Phone (209) 524-9402

411 4th St
Wheatland, CA 95692
Phone (530) 633-9398

460 Plumas Blvd
#204
Yuba City, CA 95991

440 Plumas Blvd
Fl 2
Yuba City, CA 95991

480 Plumas Blvd
Ste 200
Yuba City, CA 95991
Phone (530) 749-3601

480 Plumas Blvd
#200
Yuba City, CA 95991

460 Plumas Blvd
Ste 103
Yuba City, CA 95991

969 Plumas St
Ste 116
Yuba City, CA 95991
Phone (530) 749-3585

460 Plumas Blvd
Ste 104
Yuba City, CA 95991

460 Plumas Blvd
Ste 203
Yuba City, CA 95991
Phone (530) 749-3399

969 Plumas St
Yuba City, CA 95991
Phone (530) 674-4353

480 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-3601

400 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3520

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477653129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 PLUMAS ST",
            "address_2": "STE 205",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914011",
            "telephone_number": "530-749-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PLUMAS BLVD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915071",
            "telephone_number": "530-749-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER NORTH MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-749-3330"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF 799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB44214F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter North Medical Foundation Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.