Active NPI
Sutter Medical Foundation
- Diagnostic Radiology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SUTTER MEDICAL FOUNDATION
- Practice address
- 2800 L St FL 7
Sacramento, CA 95816-5616 - Phone
- (916) 731-7857
- NPI assigned
- Mar 18, 2010
- Last updated
- Mar 18, 2026
- Organization subpart
- Yes
- Parent organization
- SUTTER MEDICAL FOUNDATION
NPPES NPI Registry
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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Nuclear Radiology Physician | 2085N0904X | |||
| Pediatric Radiology Physician | 2085P0229X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Therapeutic Radiology Physician | 2085R0203X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X |
Addresses
Primary practice location
2800 L St FL 7
Sacramento, CA 95816-5616
Mailing address
2800 L St FL 7
Sacramento, CA 95816-5616
Phone (916) 731-7857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090311000335 | CA | Part B Supplier - Clinic/Group Practice | 9830094515 |
Receives reassigned benefits from 3,204 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sutter North Medical Foundation
- Anesthesiology Physician
- Yuba City, CA
- NPI 1649404211
O20090311000335
-
dba Sutter Medical Foundation North Bay
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1710162292
O20090311000335
-
dba Sutter Regional Medical Foundation
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
O20090311000335
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
O20090311000335
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
O20090311000335
-
dba Sutter North Medical Foundation
- Multi-Specialty Clinic/Center
- Yuba City, CA
- NPI 1992939565
O20090311000335
National Provider Directory
National Provider Directory- Part of
- Sutter Valley Med Fndtn
Ownership & related parties
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.
-
- Durable Medical Equipment & Medical Supplies
- Grass Valley, CA
- NPI 1326109075
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Modesto, CA
- NPI 1811351729
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1467504027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1942524095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 L ST FL 7",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165616",
"telephone_number": "916-731-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 L ST FL 7",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165616",
"telephone_number": "916-731-7857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER MEDICAL FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUTTER MEDICAL FOUNDATION",
"enumeration_date": "2010-03-18",
"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": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
- Sutter Health Sacramento Sierra Region
- Sutter Health Sacramento Sierra Region (Sutter Dialysis South)
- Sutter Health Sacramento Sierra Region (Sutter Oaks Midtown (SOMT))
- Sutter Health Sacramento Sierra Region
- Sutter Medical Center Sacramento (Sutter Memorial)
- Sutter Surgery Center LP
- Sutter Terrace Dental Group
- Sutter Valley Hospitals
- Sutter Valley Hospitals (Sutter Sacramento Outpatient Pharmacy)
- Sutter Valley Hospitals (Sutter Medical Center Sacramento Infusion Pharmacy)
Sources for this page
- 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.