Organization
SUTTER VALLEY MEDICAL FOUNDATION
Active
Other names
Stockton Medical Plaza Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KELLER (SR. DIRECTOR, PLANNING AND ALIGNMEN)
(650) 934-7000
Entity
Organization
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 957-7050
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
03/18/2026
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