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SONORA COMMUNITY HOSPITAL NPI 1457342511


NPI Information

NPI: 1457342511
Provider Name: SONORA COMMUNITY HOSPITAL

Doing Business As: FOOTHILL PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12791 CABEZUT RD
SONORA, CA
ZIP 95370
Phone: (209) 532-5524
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SONORA COMMUNITY HOSPITAL is a pediatrics in Sonora, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SONORA COMMUNITY HOSPITAL NPI is 1457342511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foothill Pediatrics.

The provider's business location address is:

12791 CABEZUT RD
SONORA, CA
ZIP 95370-926
Phone: (209) 532-5524
Fax: (209) 532-1513

The provider's authorized official is Andrew D. Jahn .
The authorized official title is Vice President For Finance and has the following contact phone number (209) 536-5010.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 7/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ17168ZMEDICARE PINCALIFORNIA
2CU0092MEDICARE PINCALIFORNIA
3050335MEDICARE PINCALIFORNIA
4ZZZ93152ZOTHERCALIFORNIABLUE CROSS/BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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