Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sutter Gould Medical Foundation

Organization Family Medicine Physician · NPI 1063468106

Sutter Gould Medical Foundation is a Family Medicine Physician in Lodi, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1300 W Lodi Ave Ste P
Lodi, CA 95242-3000
Phone: (209) 366-1990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1063468106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Mitnick — Medical Director · (209) 521-6097
Other names Lodi Ave Care Center
NPI enumeratedMay 26, 2006
Last updated in NPPESMay 6, 2010
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

Other providers in Lodi