SONORA PRIMARY CARE NPI 1053675488

NPI Information

  • NPI: 1053675488
  • Provider Name: SONORA PRIMARY CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D2067403
  • Address: 13951 MONO WAY
    SUITE A
    SONORA, CA
    ZIP 95370
  • Phone: (209) 532-3370

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NPI Details

SONORA PRIMARY CARE is a family medicine in Sonora, CA. The provider is 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. SONORA PRIMARY CARE NPI is 1053675488. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13951 MONO WAY
SUITE A
SONORA, CA
ZIP 95370-830
Phone: (209) 532-3370
Fax: (209) 532-3340

The provider's authorized official is Timothy D Hooper .
The authorized official title is Md, President and has the following contact phone number (209) 532-3370.

The CLIA number assigned to this NPI record is 05D2067403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2012 and was last updated on 6/29/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG55188CALIFORNIAYes

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: 11/21/2025

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