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 1982648580

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

In the registry since
2006

Practice location Address checks out

1335 S Fairmont Ave
Lodi, CA 95240-5520 Not confirmed with CMS for 16 years — call before visiting
Phone: (209) 366-2007
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1982648580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Mitnick — Medical Director · (209) 521-6097
Other names Kettleman Care Center
NPI enumeratedJune 15, 2006
Last updated in NPPESMay 6, 2010
Mailing address600 Coffee Rd, Modesto, CA 95355-4201

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