SONORA COMMUNITY HOSPITAL (NPI# 1134327083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134327083 |
| Entity Type | Organization |
| Organization Name | SONORA COMMUNITY HOSPITAL |
| Other Organization Name | SIERRA OB/GYN CLINIC |
| Practice Address |
680 Guzzi Ln Suite 106 Sonora CA 95370-5288 |
| Mailing Address |
14542 Lolly Ln Sonora CA 95370-9226 |
| Practice Telephone | 2095363750 |
| Practice Fax Number | 2095329811 |
| Mailing Telephone | 2095363900 |
| Mailing Fax Number | 2095362773 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | ANDREW D. JAHN (VICE PRESIDENT FOR FINANCE) |
| Authorized Official Telephone | 2095365011 |
| Is Organization Subpart | Y |
| Parent Organization Name | SONORA COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ68971Y | 01 |
| Other Name | Type Code |
|---|---|
| Sierra OB/GYN Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194104919 | Sonora Community Hospital | Durable Medical Equipment & Medical Supplies | 440 Greenfield Ave Ste A, Hanford, CA 93230-3568 | 2015-05-26 |
| 1740582568 | Sonora Community Hospital | Pharmacy | 220 W Stockton St, Sonora, CA 95370-4951 | 2010-11-30 |
| 1376575852 | Sonora Community Hospital | Durable Medical Equipment & Medical Supplies | 220 W Stockton St Ste B, Sonora, CA 95370-4951 | 2006-07-07 |
| 1609836634 | Sonora Community Hospital | Pharmacy | 900 Greenley Rd Ste 912, Ste 912, Sonora, CA 95370-5287 | 2006-03-24 |
| 1740271345 | Sonora Community Hospital | Family Medicine | 14542 Lolly Ln, Sonora, CA 95370-9226 | 2005-11-02 |
| 1962493791 | Sonora Community Hospital | Clinic/Center | 14540 Mono Way, Sonora, CA 95370-8858 | 2005-11-01 |
| 1306837133 | Sonora Community Hospital | Family Medicine | 12811 Covey Cir, Sonora, CA 95370-5935 | 2005-11-01 |
| 1033100854 | Sonora Community Hospital | Family Medicine | 19747 Greenley Rd, Suite S-2, Sonora, CA 95370-5998 | 2005-11-01 |
| 1467443382 | Sonora Community Hospital | Family Medicine | 2037 Highway 4, Arnold, CA 95223 | 2005-10-31 |
| 1356332274 | Sonora Community Hospital | Family Medicine | 18661 Highway 120, Groveland, CA 95321 | 2005-10-31 |
| Street Address |
680 GUZZI LN SUITE 106 |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271818 | Choo S Lee | Specialist | 680 Guzzi Ln, Suite 202, Sonora, CA 95370-5288 | 2005-08-09 |
| 1487188280 | Stephen Hopkins Md Medical Corporation | Phlebology | 680 Guzzi Ln, Suite 103, Sonora, CA 95370-5288 | 2017-04-18 |
| 1487104899 | Deanna Fossen | Nurse Practitioner | 680 Guzzi Ln, Suite 105, Sonora, CA 95370-5288 | 2016-10-10 |
| 1255703559 | Kathryn Walker | Nurse Practitioner | 680 Guzzi Ln, Suite 203, Sonora, CA 95370-5288 | 2015-10-26 |
| 1215225982 | Sierra Specialty Call Group Medical Corporation | Orthopaedic Surgery | 680 Guzzi Ln, Suite 203, Sonora, CA 95370-5288 | 2011-07-15 |
| 1104147206 | Rana Rand | Physical Medicine & Rehabilitation | 680 Guzzi Ln, Ste 101, Sonora, CA 95370-5288 | 2010-06-13 |
| 1659526440 | Daniel C. Meador, Md, Inc | Internal Medicine | 680 Guzzi Ln, Suite 201, Sonora, CA 95370-5288 | 2008-11-20 |
| 1457529612 | Tony L Lloyd M.d., Inc. | Family Medicine | 680 Guzzi Ln, Ste 106, Sonora, CA 95370-5288 | 2008-02-11 |
| 1609062132 | Airell L Nygaard Md Inc | Physician Assistant | 680 Guzzi Ln, Suite 102, Sonora, CA 95370-5288 | 2007-09-19 |
| 1003002742 | Brett C. Lockman | Neuromusculoskeletal Medicine & OMM | 680 Guzzi Ln, Suite 101, Sonora, CA 95370-5288 | 2007-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1861617417 | Matthew Tam Maynard | Obstetrics & Gynecology | 20044 Cedar Rd N Ste A, Sonora, CA 95370-5900 | 2007-04-16 |
| 1366886392 | Chrystal Anastasia Lucretia Bradley | Obstetrics & Gynecology | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2013-04-21 |
| 1992897292 | Christopher Mills | Obstetrics & Gynecology | 20044 Cedar Rd N, Suite A, Sonora, CA 95370-5900 | 2006-09-28 |
| 1154351484 | Lawrence Eugene Brunel | Obstetrics & Gynecology | 12811 Covey Cir, Sonora, CA 95370-5935 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.