Sutter Gould Medical Foundation
Radiology, Diagnostic Radiology in Carlsbad, CA. Organization (NPI-2).
NPI number1104083377
StatusActive
Last updated in NPPESMay 14, 2015
Details
- NPI
- 1104083377
- Entity type
- Organization (NPI-2)
- Legal business name
- Sutter Gould Medical Foundation
- Organization subpart
- No
- Enumeration date
- May 16, 2008
- Last updated
- May 14, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
3585 Gorge PlCarlsbad, CA 92010-7083
Phone 209-521-6097
Mailing address
600 Coffee RdPhysician Services
Modesto, CA 95355-4201
Phone 209-521-6097
Authorized official
Steven A Mitnick
Medical Director
2095216097
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