NPIMap

Organization Active NPI

Sutter Valley Medical Foundation

Doing business as Sutter North Brownsville Family Practice Center

  • Rural Health Clinic/Center
  • Brownsville, CA
National Provider Identifier
1740422286
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
230000331 Issued in CA
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Doing business as
Sutter North Brownsville Family Practice Center
Practice address
16911 Willow Glen Road
Brownsville, CA 95919
Phone
(530) 675-2457
Fax
(530) 675-0530
NPI assigned
Mar 30, 2009
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUTTER MEDICAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Leia M Sanders
Title
Sr Director, Cred, Enroll, Alignmen
Phone
(650) 934-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 230000331 CA Primary
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 names 1

  • Sutter North Brownsville Family Practice Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000248 CA Part A Provider - Rural Health Clinic 9830094515 Practice locations: Brownsville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740422286. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Apr 8, 1992 in CA
Enrollment address
16911 Willow Glen Rd
Brownsville, CA 95919-9707

Other NPIs with the same Medicare PAC ID 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Sutter Valley Med Fndtn36 organizations share this tax ID, including this one
Part of
Sutter Valley Med Fndtn

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Ownership & related parties

All disclosed owners & managing parties 15

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
Stacey May Saefong Tan Individual W-2 Managing Employee Jan 1, 2023
Suheir Haddad Individual Corporate OfficerCfo Apr 1, 2023
I-Mei Hsiu Individual Corporate DirectorBoard Member May 21, 2015
Todd C Smith Individual Corporate DirectorBoard Member May 21, 2015
Helen M Thomson Individual Corporate DirectorBoard Member Feb 7, 2011
David H Adkins Individual Corporate DirectorBoard Member May 21, 2015
Krista Lopes Individual Corporate OfficerVP, Quality, Safety & Patient Exp Apr 1, 2024
Timothy a Byrd Individual Corporate DirectorBoard Member May 21, 2015
Connie Baker Individual W-2 Managing EmployeeRegional Manager Jan 4, 2010
Kurt J Shuler Individual Corporate DirectorBoard Member Jan 1, 2015
Stephanie Moser Individual W-2 Managing Employee Nov 23, 2023
Warner L. Thomas Individual Corporate DirectorPresident/Ceo Dec 28, 2022
Sutter Health Organization Corporation, Non-profit Other May 1, 1992 100%
Viva Ettin Individual Corporate DirectorBoard Member Feb 7, 2014

Owners & managing parties with NPI records 4

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1740422286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16911 WILLOW GLEN ROAD",
            "city": "BROWNSVILLE",
            "state": "CA",
            "postal_code": "95919",
            "telephone_number": "530-675-2457",
            "fax_number": "530-675-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER MEDICAL FOUNDATION",
        "enumeration_date": "2009-03-30",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LEIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR DIRECTOR, CRED, ENROLL, ALIGNMEN",
        "authorized_official_telephone_number": "650-934-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "230000331",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0617902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter North Brownsville Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, CA

Sources for this page

Verify at the official NPI Registry.