MEDICARE: SUTTER VALLEY MEDICAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1215049556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUTTER VALLEY MEDICAL FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 255228
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5228
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 PIONEER AVE
Second Line	:	SUITE 400
City	:	WOODLAND
State	:	CA
Zip	:	95776-4905
Country	:	US
Telephone Number	:	530-406-5600
Fax Number	:	530-406-5626

Authorized Official
Title or Position	:	SR. DIRECTOR, PLANNING AND ALIGNMEN
Name	:	KRISTIN KELLER
Credential	:
Telephone Number	:	650-934-7000

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/18/2026

Similar Medicare Providers

1295609550 — KATRINA RAEANN SUDIA DPT
Practice Location Address:

475 PIONEER AVE STE 200
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5620
Practice Fax:

1629076567 — STEPHANIE S MACK PT
Practice Location Address:

475 PIONEER AVE STE 400
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5620
Practice Fax:

1093705485 — TAN V NGUYEN MD
Practice Location Address:

475 PIONEER AVE STE 400
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5600
Practice Fax: 916-928-3950

1811964232 — BRIAN PAUL VACCAREZZA PA-C
Practice Location Address:

475 PIONEER AVE , SUITE 400
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5601
Practice Fax: 530-406-5626

1275580607 — MR. SATURNINO BAGLAN DAGWASE PT
Practice Location Address:

475 PIONEER AVE STE 200
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5620
Practice Fax: 530-406-5622

1144232034 — SUSAN KOO P.T.
Practice Location Address:

475 PIONEER AVE , SUITE 200
WOODLAND, CA
95776-4905

Practice Phone: 530-406-5620
Practice Fax: 530-406-5622

Directions to “SUTTER VALLEY MEDICAL FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.