# SUTTER VALLEY MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stockton Medical Plaza Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356716179
- **Authorized official:** KRISTIN KELLER (SR. DIRECTOR, PLANNING AND ALIGNMEN)
- **Authorized official phone:** (650) 934-7000

## Contact information

- **Practice address:** 2505 W HAMMER LN, STOCKTON, CA 95209-2839
- **Practice address phone:** (209) 957-7050
- **Mailing address:** PO BOX 255228, SACRAMENTO, CA 95865-5228
- **Mailing address phone:** (209) 524-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G32207 | CA | — |
| 207R00000X | Internal Medicine Physician | G25105 | CA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | G41310 | CA | — |
| 208000000X | Pediatrics Physician | A16204 | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2015
- **Last updated:** 03/18/2026