Healthcare Provider Details

I. General information

NPI: 1568590636
Provider Name (Legal Business Name): SUTTER NORTH MEDICAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 PLUMAS BLVD SUITE 202
YUBA CITY CA
95991-5005
US

IV. Provider business mailing address

969 PLUMAS ST SUITE 205
YUBA CITY CA
95991-4011
US

V. Phone/Fax

Practice location:
  • Phone: 530-749-5500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID YAMAMOTO
Title or Position: CEO
Credential:
Phone: 530-749-3330