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

Sutter Valley Medical Foundation

Organization Family Medicine Physician · NPI 1356716179

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

Licensed in
CA
In the registry since
2015
Specialties on file
5

Practice location Address checks out

2505 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
Family Medicine Physician Taxonomy 207Q00000X · Licence G32207 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G25105 (CA)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence G41310 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A16204 (CA)

Record details

NPI number1356716179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Keller — Sr. Director, Planning And Alignmen · (650) 934-7000
Other names Stockton Medical Plaza Primary Care; Stockton Medical Plaza Primary 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