SUTTER VALLEY MEDICAL FOUNDATION
NPI 1477912517
Durable Medical Equipment & Medical Supplies in Lodi, CA

Q: What is Sutter Valley Medical Foundation's NPI number?

The NPI number for Sutter Valley Medical Foundation is 1477912517. It was assigned to this organization in the NPPES registry on February 17, 2016. The provider is doing business as Sutter Gould Medical Foundation.

Q: What is Sutter Valley Medical Foundation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since February 17, 2016CLIA 05D0609730 · Microscopy

924 S FAIRMONT AVE, LODI, CA 95240(209) 334-2590 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Apr 25, 2024, Feb 18, 2016 (3 updates tracked since 2016).

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About Sutter Valley Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUTTER VALLEY MEDICAL FOUNDATION (NPI 1477912517), doing business as Sutter Gould Medical Foundation, is a healthcare organization registered as a durable medical equipment & medical supplies in Lodi, California and active in the NPI registry since February 2016. The organization holds a CLIA Microscopy certificate valid through June 8, 2028 and lists Kristin Keller, Sr. Director, Planning And Alignmen, as its authorized official.

NPPES Registry Identity

NPI1477912517

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSUTTER VALLEY MEDICAL FOUNDATION

Location Address924 S FAIRMONT AVELodi, CA 95240-5119

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(209) 334-2590

Organization SubpartYesParent: Sutter Health

Authorized OfficialKristin KellerSr. Director, Planning And Alignmen · (650) 934-7000

Enumeration DateFebruary 17, 2016

Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1477912517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedSurgeryTaxonomy 208600000X

924 S FAIRMONT AVE, Lodi, CA 95240

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Other Names 1

Doing Business AsSutter Gould Medical Foundation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0609730

Sutter Valley Medical Foundation Dba Sutter Valley Medical Foundation-Lodi Internal Med · Lodi, CA

Active · expires Jun 8, 2028

CLIA Number05D0609730

Laboratory TypePhysician Office

Certificate Effective DateJune 9, 2026

Certificate Expiration DateJune 8, 2028

Laboratory DirectorLily Tumbaga-Notario, MD

Laboratory Phone(209) 366-2001

Laboratory LocationSutter Valley Medical Foundation Dba Sutter Valley Medical Foundation-Lodi Internal Med999 S. Fairmont Ave Suite 130, Lodi, CA 95240

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS PETER MCKENZIE MD

Orthopaedic Surgery

924 S FAIRMONT AVE
LODI, CA 95240

San Joaquin County (209) 334-2590

LODI ORTHOPAEDIC MEDICAL GROUP

Orthopaedic Surgery

924 S FAIRMONT AVE
LODI, CA 95240

San Joaquin County (209) 334-2590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sutter Valley Medical Foundation's NPI number?

The NPI number for Sutter Valley Medical Foundation is 1477912517. It was assigned to this organization in the NPPES registry on February 17, 2016. The provider is doing business as Sutter Gould Medical Foundation.

Where is Sutter Valley Medical Foundation located?

Sutter Valley Medical Foundation is located at 924 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-2590.

What is Sutter Valley Medical Foundation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Sutter Valley Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0609730) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sutter Valley Medical Foundation was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.