Sutter Valley Medical Foundation
Organization Active NPI Rural Health Clinic/Center · Plymouth, CA
NPI 1831467653 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1831467653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- SUTTER VALLEY MEDICAL FOUNDATION
- Practice address
- 9279 Locust Street
Plymouth, CA 95669 - Phone
- (209) 245-6968
- Fax
- (209) 245-5135
- NPI assigned
- Dec 7, 2011
- 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 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
- Corporation · Non-profit
- Incorporated
- Apr 8, 1992 in CA
- Enrollment address
- 9279 Locust St
Plymouth, CA 95669
All disclosed owners & managing parties 25
| Name | Role | Since | Share |
|---|---|---|---|
| Peter V Hull |
Corporate Director |
Jan 1, 2012 | |
| I-Mei Hsiu |
Corporate Director |
May 21, 2015 | |
| Todd C Smith |
Corporate Director |
May 21, 2015 | |
| Marie F Seward |
Corporate Director |
May 21, 2015 | |
| Sandra Adams |
W-2 Managing Employee |
Dec 11, 1978 | |
| Paige a Terra |
Corporate Officer |
Feb 1, 2014 | |
| Helen M Thomson |
Corporate Director |
Feb 1, 2011 | |
| David H Adkins |
Corporate Director |
May 21, 2015 | |
| James E Conforti |
Corporate Officer |
Mar 1, 2012 | |
| Corporate Director |
Mar 1, 2012 | ||
| Krista Lopes |
Corporate Director |
Apr 1, 2024 | |
| Timothy a Byrd |
Corporate Director |
May 21, 2015 | |
| Mary a Welker |
W-2 Managing Employee |
May 2, 1999 | |
| Sarah Krevans |
Corporate Director |
Jun 1, 1999 | |
| Kelleen Wittmeyer |
Contracted Managing Employee |
Nov 4, 2007 | |
| Michael J Newell |
Corporate Director |
Jan 1, 2004 | |
| Scott N Howell |
Corporate Director |
Jan 1, 2007 | |
| Kiren Rizvi |
W-2 Managing Employee |
Aug 10, 2009 | |
| Edward I Leland |
Corporate Director |
May 21, 2015 | |
| Narendra M Pathipati |
Corporate Director |
Oct 1, 2011 | |
| Kurt J Shuler |
Corporate Director |
Jan 1, 2015 | |
| Stephanie Moser |
W-2 Managing Employee | Nov 23, 2023 | |
| Bridget D Parker |
W-2 Managing Employee |
Mar 31, 2001 | |
| Sutter Health |
Other | Apr 8, 1992 | |
| Viva Ettin |
Corporate Director |
Feb 7, 2014 | |
| Lois a Cross |
W-2 Managing Employee |
Nov 1, 1990 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120417000401 | CA | Part a Provider - Rural Health Clinic | 9830094515 | Practice locations: Plymouth, CA |
National Provider Directory
- Tax ID family
- Sutter Medical Foundation North Bay
- Part of
- Sutter Medical Foundation North Bay
Locations
2750 Gateway Oaks Dr
Ste 340
Sacramento, CA 95833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | CA | Yes |
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
- Sutter Medical Foundation Plymouth Health Center
Other providers in Plymouth, CA
- Robert Michael Negrete
- Pokerville Drug
- Christina Lobue Sonnenberg
- Patricia Sullivan
- Sutter Health Sacramento Sierra Region
- Lucy Anne Valencia
- Aaron True Wichert
All providers in Plymouth, 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.