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Sutter Valley Medical Foundation

Organization Active NPI Ambulatory Surgical Clinic/Center · Elk Grove, CA

NPI 1972877264 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1972877264
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
SUTTER VALLEY MEDICAL FOUNDATION
Practice address
8200 Laguna Blvd
Elk Grove, CA 95758-7956
Phone
(916) 286-8185
NPI assigned
Mar 4, 2012
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

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

Other NPIs with the same Medicare PAC ID 23

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

Practitioners 2,552

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,552

Medicare Care Compare: Ambulatory surgical center

Listed as
Sutter Valley Medical Foundation CCN 05C0001999
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2039859Sutter Medical Foundation
8200 Laguna Blvd, Elk Grove, CA 95758		Certificate of waiverApr 17, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130222000306 CA Part B Supplier - Ambulatory Surgical Center 9830094515 Receives reassigned benefits from 133 practitioners
Practice locations: Elk Grove, CA

National Provider Directory

Part of
Sutter Medical Foundation North Bay

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

8200 Laguna Blvd
Elk Grove, CA 95758-7956

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other names

  • Sutter Elk Grove Surgery Center Other name

Other providers in Elk Grove, CA

All providers in Elk Grove, CA · Ambulatory Surgical Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.