Sutter Valley Medical Foundation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SUTTER VALLEY MEDICAL FOUNDATION

Practice address

3536 Mendocino Ave
Suite 300
Santa Rosa, CA 95403-3634

Phone

(707) 571-1280

Fax

(707) 578-5849

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Kristin Keller

Title

Sr. Director, Planning and Alignmen

Phone

(650) 934-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Sutter Valley Medical Foundation

  • Clinical Medical Laboratory
  • Yuba City, CA
  • NPI 1063646446

  O20070214000399

  Same enrollment
• Sutter Valley Medical Foundation

  • Clinical Medical Laboratory
  • Modesto, CA
  • NPI 1285009035

  O20070214000399

  Same enrollment
• Sutter Valley Medical Foundation

  • Clinical Medical Laboratory
  • Sacramento, CA
  • NPI 1770688129

  O20070214000399

  Same enrollment

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1861693566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 HEALDSBURG AVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954489617",
            "telephone_number": "707-475-4531",
            "fax_number": "707-473-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "SUITE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-571-1280",
            "fax_number": "707-578-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER VALLEY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SR. DIRECTOR, PLANNING AND ALIGNMEN",
        "authorized_official_telephone_number": "650-934-7000"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutter Medical Group of the Redwoods
• Sutter Medical Group of the Redwoods
• Sutter Medical Group of the Redwoods
• Sutter Medical Group of the Redwoods
• Sutter Trauma Assessment Team
• Sutter Valley Medical Foundation
• Sutter Visiting Nurse Association and Hospice
• Sutter Visiting Nurse Association and Hospice
• Sutter West Bay Medical Foundation
• Sutter West Bay Medical Foundation

• Clinical Medical Laboratory in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.