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

Sutter Gould Medical Foundation

Organization Family Medicine Physician · NPI 1154352771

Sutter Gould Medical Foundation provides Family Medicine Physician services in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

2505 W Hammer Ln
Stockton, CA 95209-2839 Not confirmed with CMS for 13 years — call before visiting
Phone: (209) 957-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) 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 number1154352771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Mitnick — Medical Director · (209) 521-6097
Other names Stockton Medical Plaza Primary Care
NPI enumeratedJuly 5, 2006
Last updated in NPPESOctober 3, 2012
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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