NPIMap

Organization Active NPI

Sutter Valley Hospitals

Doing business as Memorial Medical Center

  • General Acute Care Hospital
  • Modesto, CA
National Provider Identifier
1699129601
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUTTER VALLEY HOSPITALS
Doing business as
Memorial Medical Center
Practice address
1700 Coffee Rd
Modesto, CA 95355-2803
Phone
(209) 572-7134
Fax
(209) 569-7417
NPI assigned
Apr 15, 2016
Last updated
Jan 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Paige A. Terra
Title
Cfo
Phone
(916) 887-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1700 Coffee Rd
Modesto, CA 95355-2803

Mailing address

2700 Gateway Oaks Dr
Suite 2200
Sacramento, CA 95833-4337
Phone (916) 887-7040

Other names 1

  • Memorial Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170209001736 CA Part A Provider - Hospital 3375531635 Practice locations: Modesto, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699129601. Details of each certification follow.

Hospital certification: CCN 050557

Legal name
SUTTER VALLEY HOSPITALS
Doing business as
MEMORIAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 1, 1970
Last certification
Feb 15, 2019
Beds
275
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1935 in CA
Enrollment address
1700 Coffee Rd
Modesto, CA 95355-2803
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 14

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

View all 14

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Medical CenterCCN 050557 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations (25 of 28)

4053 Lone Tree Way
Antioch, CA 94531
Phone (925) 756-3400

2601 1st St
Atwater, CA 95301
Phone (209) 358-6464

8339 Brimhall Rd
Ste 1303
Bakersfield, CA 93312
Phone (661) 829-0026

20400 Lake Chabot Rd
Ste 202
Castro Valley, CA 94546
Phone (510) 881-7822

4770 W Herndon Ave
Ste 111
Fresno, CA 93722
Phone (559) 450-2273

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1190 Olivewood Dr
Ste D
Merced, CA 95348
Phone (209) 726-4646

1011 Sylvan Ave
Ste C
Modesto, CA 95350
Phone (209) 550-4740

1213 Coffee Rd
Ste A
Modesto, CA 95355
Phone (209) 262-3064

1401 Spanos Ct
Ste 121
Modesto, CA 95355
Phone (209) 525-3135

1401 Spanos Ct
Ste 130
Modesto, CA 95355
Phone (209) 525-3844

1401 Spanos Ct
Ste 205
Modesto, CA 95355
Phone (209) 525-3199

1401 Spanos Ct
Ste 230
Modesto, CA 95355
Phone (209) 521-9661

1429 College Ave
Ste L
Modesto, CA 95350
Phone (209) 248-7345

1444 Coffee Rd
Modesto, CA 95355
Phone (209) 572-1207

1448 Florida Ave
Modesto, CA 95350
Phone (209) 523-1884

1930 E Hatch Rd
Modesto, CA 95351
Phone (209) 531-0552

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

1425 W H St
Ste 200
Oakdale, CA 95361
Phone (209) 848-1005

715 W F St
Oakdale, CA 95361
Phone (209) 847-2021

2603 Patterson Rd
Ste 2
Riverbank, CA 95367
Phone (209) 869-5678

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

2800 L St
#600
Sacramento, CA 95816
Phone (916) 887-1230

31001 Rancho Viejo Rd
Ste 200
San Juan Capistrano, CA 92675
Phone (949) 661-9600

13690 E 14th St
Ste 200
San Leandro, CA 94578
Phone (510) 297-0550

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Peter V Hull Individual Corporate DirectorBoard Member Jan 1, 2012
I-Mei Hsiu Individual Corporate DirectorBoard Member May 21, 2015
Todd C Smith Individual Corporate DirectorBoard Member May 21, 2015
Marie F Seward Individual Corporate DirectorBoard Member May 21, 2015
Sutter Valley Hospitals Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2017 100%
Daniel Flores Individual Corporate DirectorBoard Member Sep 1, 2018
Helen M Thomson Individual Corporate DirectorBoard Member Feb 1, 2011
David H Adkins Individual Corporate DirectorBoard Member May 21, 2015
Timothy a Byrd Individual Corporate DirectorBoard Member May 21, 2015
Scott N Howell Individual Corporate DirectorBoard Member Jan 1, 2009
Bronwyn Fields Individual Corporate DirectorBoard Member Sep 1, 2018
Maria G Pallavicini Individual Corporate DirectorBoard Member Aug 3, 2017
Narendra M Pathipati Individual Corporate DirectorBoard Member Oct 1, 2011
Kurt J Shuler Individual Corporate DirectorBoard Member Jan 1, 2015
Jerry Tokunaga Individual Corporate DirectorBoard Member Sep 1, 2018
Sutter Health Organization, Sacramento, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2017 100%
Timothy Noakes Individual Corporate Officer Sep 5, 2020
W-2 Managing Employee Sep 5, 2020
Viva Ettin Individual Corporate DirectorBoard Member Feb 7, 2014

Owners & managing parties with NPI records 18

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 18

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sutter Auburn Faith HospitalAuburn, CA, CCN 050498 Hospital 5% Or Greater Direct Ownership Interest (100%) May 31, 1996
Sutter Solano Medical CenterVallejo, CA, CCN 050101 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Sutter Amador HospitalJackson, CA, CCN 050014 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2009
Sutter Surgical Hospital-North ValleyYuba City, CA, CCN 050766 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 12, 2026
Memorial Hospital Los Banos Rural Health ClinicLos Banos, CA, CCN 553998 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2017

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 59

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 59

Practitioners & affiliated clinicians

Practitioners 518

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 518

Affiliated clinicians 702

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 702

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1699129601",
    "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": "1700 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552803",
            "telephone_number": "209-572-7134",
            "fax_number": "209-569-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "TERRA",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-887-7050"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.