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

Sutter Valley Medical Foundation

Organization Dermatology Physician · NPI 1063887883

Sutter Valley Medical Foundation is a Dermatology Physician in Stockton, California. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
7

Practice location Address checks out

2545 W Hammer Ln
Stockton, CA 95209-2839
Phone: (209) 957-7050
Show map & directions

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

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Dermatology Physician Taxonomy 207N00000X
Emergency Medicine Physician Taxonomy 207P00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1063887883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Keller — Sr. Director, Planning And Alignmen · (650) 934-7000
Other names Stockton Medical Plaza Specialty Care; Stockton Medical Plaza Specialty Care
NPI enumeratedDecember 4, 2015
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026
Mailing addressPo Box 255228, Sacramento, CA 95865-5228

Other providers in Stockton