SONORA COMMUNITY HOSPITAL (NPI# 1821089749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821089749 |
| Entity Type | Organization |
| Organization Name | SONORA COMMUNITY HOSPITAL |
| Other Organization Name | ANGELS CAMP FAMILY MEDICAL CENTER |
| Practice Address |
445 South Main St Angels Camp CA 95222 |
| Mailing Address |
14542 Lolly Ln Sonora CA 95370-9226 |
| Practice Telephone | 2097360249 |
| Practice Fax Number | 2095337696 |
| Mailing Telephone | 2095362760 |
| Mailing Fax Number | 2095337696 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-03-29 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS/BLUE SHIELD | ZZZ52950Z | 01 |
| Other Name | Type Code |
|---|---|
| Angels Camp Family Medical Center | 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 |
445 SOUTH MAIN ST |
| City | ANGELS CAMP |
| State | CA |
| Zip Code | 95222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505918 | Mact Health Board, Inc. | Dentist | 52 S Main Street, Suite B, Angels Camp, CA 95222 | 2019-08-28 |
| 1447747076 | Christina Hauer | Physical Therapist | 457 S Main Street, Angels Camp, CA 95222 | 2018-04-19 |
| 1760832836 | Kelli Marie Karr | Physical Therapist | 571 Stanislaus Ave, Ste F, Angels Camp, CA 95222 | 2016-06-20 |
| 1932522364 | Donald Anthony St. Claire Sr. | Internal Medicine | 401 Albasio Ct., Angels Camp, CA 95222 | 2014-01-21 |
| 1760538532 | Jane S Lucas | Marriage & Family Therapist | 1311 S. Main St., Suite C, Angels Camp, CA 95222 | 2007-01-26 |
| 1942362488 | Nitya Prema | Marriage & Family Therapist | 1311 South Main St, Angels Camp, CA 95222 | 2006-12-14 |
| 1629011937 | Longs Drug Stores California LLC | Pharmacy | 41 North Main St, Angels Camp, CA 95222 | 2006-06-14 |
| 1477596096 | Robert Shelby Haymond | Ophthalmology | 1300 Kurt Dr, Ste 102, Angels Camp, CA 95222 | 2006-06-13 |
| 1710943469 | Jeffrey Howard Schwartz | Podiatrist | 575 Stanislaus St., Suite C, Angels Camp, CA 95222 | 2006-04-21 |
| 1851371520 | Chris H. Iwata | Optometrist | 595 Stanislaus St, Ste C, Angels Camp, CA 95222 | 2006-01-19 |
| Find all providers in zip 95222 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700876 | John Brennan Krpan | Family Medicine | 1300 Kurt Drive, Suite 105, Angels Camp, CA 95222 | 2005-06-16 |
| 1720114598 | Paul Allen Jacobson | Family Medicine | 1300 Kurt Dr, Suite 104, Angels Camp, CA 95222 | 2007-02-26 |
| 1215031588 | Joann Rosenfeld | Family Medicine | 222 S Main St, Angels Camp, CA 95222-9359 | 2006-09-08 |
| 1851379572 | Everardo Lopez | Family Medicine | 445 South Main Street, Angels Camp, CA 95222 | 2006-01-03 |
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|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | ANGELS CAMP |
| Zip Code | 95222 |
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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.