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

Sutter Gould Medical Foundation

Organization Internal Medicine Physician · NPI 1174570964

Sutter Gould Medical Foundation is an Internal 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

999 S Fairmont Ave #130/135
Lodi, CA 95240-5100
Phone: (209) 366-2001
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1174570964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Mitnick — Medical Director · (209) 521-6097
Other names Fairmont Ave Care Center
NPI enumeratedMay 27, 2006
Last updated in NPPESMay 6, 2010
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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