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Organization

SUTTER VALLEY MEDICAL FOUNDATION

Active
Other names
SUTTER GOULD MEDICAL FOUNDATION
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
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207L00000X
Anesthesiology Physician
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207U00000X
Nuclear Medicine Physician
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician
208000000X
Pediatrics Physician
2083X0100X
Occupational Medicine Physician
2084N0400X
Neurology Physician
2085R0202X
Diagnostic Radiology Physician
2085R0204X
Vascular & Interventional Radiology Physician
208800000X
Urology Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
11/24/2015
Last updated
03/18/2026
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