Healthcare Provider Details

I. General information

NPI: 1144251521
Provider Name (Legal Business Name): SUTTER NORTH MEDICAL FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
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

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

V. Phone/Fax

Practice location:
  • Phone: 530-749-5501
  • Fax: 530-749-5520
Mailing address:
  • Phone: 530-749-5501
  • Fax: 530-749-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. DAVID E YAMAMOTO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 530-749-3330