Sutter Valley Medical Foundation
Organization Active NPI Rural Health Clinic/Center · Brownsville, CA
NPI 1740422286 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1740422286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 230000331 (CA)
- Legal business name
- SUTTER VALLEY MEDICAL FOUNDATION
- Practice address
- 16911 Willow Glen Road
Brownsville, CA 95919 - Phone
- (530) 675-2457
- Fax
- (530) 675-0530
- NPI assigned
- Mar 30, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- SUTTER MEDICAL FOUNDATION
Authorized official
- Name
- Kristin Keller
- Title
- Sr. Director, Planning and Alignmen
- Phone
- (650) 934-7000
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 4
-
David H Adkins, MD
-
I-Mei Hsiu, M.D.
-
Todd C Smith, M.D.
-
Peter Vaughn Hull, M.D
Other NPIs with the same Medicare PAC ID 23
Corporate family (same tax ID) 35
Practitioners 2,473
-
Lorraine Elizabeth Abate, M.D.
-
Seema Abbasi, MBBS
-
Loui Abdelghani, M.D
-
Elma F Abella, M.D.
-
Terri L Aboytes, P.T.
-
Anita Abraham, M.D.
-
Jaimie T Abraham, AGPCNP-BC
-
Justin Abraham, M.D., M.B.A.
-
Carina J Abrams, PT
-
Lisa P Abramson, MD
-
Sherrell Sianoya Abriam, ARNP
-
Dunni Ayobami Adalumo, M.D.
-
Allen Dale Adams, M.D.
-
Rich E Adkins, P.T.
-
Karen Ann Adrian, M.F.T
-
Jonathan Alan Africa, M.D.
-
Abhishek Agarwal, M.D.
-
Bayan Aghdasi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Rural health clinic certification: CCN 553950
- Legal name
- SUTTER VALLEY MEDICAL FOUNDATION
- Doing business as
- SUTTER NORTH BROWNSVILLE FAMILY PRACTICE CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 1, 2002
- Last certification
- Feb 23, 2017
- Ownership / control type
- 2B
- Most recent change of ownership
- Nov 1, 2009 (2 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 8, 1992 in CA
- Enrollment address
- 16911 Willow Glen Rd
Brownsville, CA 95919-9707
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Peter V Hull |
Corporate Director |
Jan 1, 2012 | |
| Stacey May Saefong Tan |
W-2 Managing Employee | Jan 1, 2023 | |
| Suheir Haddad |
Corporate Officer |
Apr 1, 2023 | |
| I-Mei Hsiu |
Corporate Director |
May 21, 2015 | |
| Todd C Smith |
Corporate Director |
May 21, 2015 | |
| Helen M Thomson |
Corporate Director |
Feb 7, 2011 | |
| David H Adkins |
Corporate Director |
May 21, 2015 | |
| Krista Lopes |
Corporate Officer |
Apr 1, 2024 | |
| Timothy a Byrd |
Corporate Director |
May 21, 2015 | |
| Connie Baker |
W-2 Managing Employee |
Jan 4, 2010 | |
| Kurt J Shuler |
Corporate Director |
Jan 1, 2015 | |
| Stephanie Moser |
W-2 Managing Employee | Nov 23, 2023 | |
| Warner L. Thomas |
Corporate Director |
Dec 28, 2022 | |
| Sutter Health |
Other | May 1, 1992 | 100% |
| Viva Ettin |
Corporate Director |
Feb 7, 2014 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091030000248 | CA | Part a Provider - Rural Health Clinic | 9830094515 | Practice locations: Brownsville, CA |
National Provider Directory
- Tax ID family
- Sutter Medical Foundation North Bay
- Part of
- Sutter Medical Foundation North Bay
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 230000331 | CA | Yes |
| Clinical Medical Laboratory | 291U00000X | 05D0617902 | CA |
Addresses
Primary practice location
16911 Willow Glen Road
Brownsville, CA 95919
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (916) 854-6975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM53950G | Medicaid | CA |
Other names
- Sutter North Brownsville Family Practice Center
Other providers in Brownsville, CA
- Tawnya Irene Hoffman
- William G Hoffman
- Thomas Peterson
- Sutter North Medical Foundation
- Sutter North Medical Foundation
- Ashley Lauren Van Buren
All providers in Brownsville, CA · Rural Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.