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KETTLEMAN CARE CENTER
NPI 1982648580
Family Medicine in Lodi, CA

Active since June 15, 2006
1335 S FAIRMONT AVE, LODI, CA 95240(209) 366-2007 Get Directions Write a Review

NPPES record last updated: May 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kettleman Care Center NPPES

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

KETTLEMAN CARE CENTER (NPI 1982648580) is a healthcare organization registered as a family medicine in Lodi, California and active in the NPI registry since June 2006. The organization lists Steven A Mitnick, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1982648580
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUTTER GOULD MEDICAL FOUNDATION
Location Address1335 S FAIRMONT AVELodi, CA 95240-5520
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211
Phone(209) 366-2007
Organization SubpartNo
Authorized OfficialSteven A MitnickMedical Director · (209) 521-6097
Enumeration DateJune 15, 2006
Last NPPES UpdateMay 6, 2010
✔ NPI 1982648580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1335 S FAIRMONT AVE, Lodi, CA 95240
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Other Names 1

Doing Business AsKettleman Care Center

Other Identifiers 2

Medicare NSC0586060022CA
Medicare ID-Type UnspecifiedZZZ20685ZCA · Medicare Number

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

MARIA ELENA SALUTA-FERRER MD
Family Medicine
1335 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 366-2007
NADEEM KHAN TAHIR-KHELI M.D.
Family Medicine
1335 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 366-2007
PAUL J SACKSCHEWSKY MD
Family Medicine
1335 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 366-2007
DR. RIPSY JASSAL MD
Family Medicine
1335 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 366-2007
DAVID WILLIAM DUNCAN MD
Family Medicine
1335 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 366-2007

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 Gould Medical Foundation's NPI number?

The NPI number for Sutter Gould Medical Foundation is 1982648580. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Kettleman Care Center.

Where is Sutter Gould Medical Foundation located?

Sutter Gould Medical Foundation is located at 1335 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 366-2007.

What is Sutter Gould Medical Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sutter Gould Medical Foundation was last updated on May 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.