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Organization Active NPI

Sutter Valley Medical Foundation

Doing business as Sutter Medical Foundation Plymouth Health Center

  • Rural Health Clinic/Center
  • Plymouth, CA
National Provider Identifier
1831467653
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Doing business as
Sutter Medical Foundation Plymouth Health Center
Practice address
9279 Locust Street
Plymouth, CA 95669
Phone
(209) 245-6968
Fax
(209) 245-5135
NPI assigned
Dec 7, 2011
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 1

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

Addresses

Primary practice location

9279 Locust Street
Plymouth, CA 95669

Mailing address

P.O. Box 255228
Sacramento, CA 95825
Phone (866) 681-0736

Other names 1

  • Sutter Medical Foundation Plymouth Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000401 CA Part A Provider - Rural Health Clinic 9830094515 Practice locations: Plymouth, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831467653. Details of each certification follow.

Rural health clinic certification: CCN 058969

Legal name
SUTTER VALLEY MEDICAL FOUNDATION
Doing business as
SUTTER MEDICAL FOUNDATION
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2012
Last certification
Mar 27, 2013
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Apr 8, 1992 in CA
Enrollment address
9279 Locust St
Plymouth, CA 95669

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
Mark C Maltzer MD36 organizations share this tax ID, including this one
Part of
Mark C Maltzer MD

Other organizations with this tax ID 35

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

View all 35

Locations

2750 Gateway Oaks Dr
Ste 340
Sacramento, CA 95833

Ownership & related parties

All disclosed owners & managing parties 25

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
Sandra Adams Individual W-2 Managing EmployeeService Area Director Dec 11, 1978
Paige a Terra Individual Corporate OfficerCfo/VP of Finance Feb 1, 2014
Helen M Thomson Individual Corporate DirectorBoard Member Feb 1, 2011
David H Adkins Individual Corporate DirectorBoard Member May 21, 2015
James E Conforti Individual Corporate OfficerCeo/Regional President Mar 1, 2012
Corporate DirectorBoard Member Mar 1, 2012
Krista Lopes Individual Corporate DirectorVP, Quality, Safety & Patient Exp Apr 1, 2024
Timothy a Byrd Individual Corporate DirectorBoard Member May 21, 2015
Mary a Welker Individual W-2 Managing EmployeeAdmin Dir, Regional May 2, 1999
Sarah Krevans Individual Corporate DirectorBoard Member Jun 1, 1999
Kelleen Wittmeyer Individual Contracted Managing EmployeeCompliance Officer Nov 4, 2007
Michael J Newell Individual Corporate DirectorBoard Member Jan 1, 2004
Scott N Howell Individual Corporate DirectorBoard Member Jan 1, 2007
Kiren Rizvi Individual W-2 Managing EmployeeRegional Administrative Director Aug 10, 2009
Edward I Leland Individual Corporate DirectorBoard Member May 21, 2015
Narendra M Pathipati Individual Corporate DirectorBoard Member Oct 1, 2011
Kurt J Shuler Individual Corporate DirectorBoard Member Jan 1, 2015
Stephanie Moser Individual W-2 Managing Employee Nov 23, 2023
Bridget D Parker Individual W-2 Managing EmployeeCredentialing Specialist Mar 31, 2001
Sutter Health Organization, Sacramento, CA Non-profit Other Apr 8, 1992
Viva Ettin Individual Corporate DirectorBoard Member Feb 7, 2014
Lois a Cross Individual W-2 Managing EmployeeDirector Clinical Operations Nov 1, 1990

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1831467653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95825",
            "telephone_number": "866-681-0736",
            "fax_number": "916-454-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9279 LOCUST STREET",
            "city": "PLYMOUTH",
            "state": "CA",
            "postal_code": "95669",
            "telephone_number": "209-245-6968",
            "fax_number": "209-245-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUTTER MEDICAL FOUNDATION",
        "enumeration_date": "2011-12-07",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Medical Foundation Plymouth Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, CA

Sources for this page

Verify at the official NPI Registry.