SONORA COMMUNITY HOSPITAL NPI 1063403129

NPI Information

  • NPI: 1063403129
  • Provider Name: SONORA COMMUNITY HOSPITAL
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: FOOTHILL PRIMARY CARE
  • Address: 650 PAULINE CT
    SONORA, CA
    ZIP 95370
  • Phone: (209) 532-5154

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NPI Details

SONORA COMMUNITY HOSPITAL is a general practice in Sonora, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SONORA COMMUNITY HOSPITAL NPI is 1063403129. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Foothill Primary Care.

The provider's business location address is:

650 PAULINE CT
SONORA, CA
ZIP 95370-210
Phone: (209) 532-5154
Fax: (209) 533-7696

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) 536-5011.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 4/2/2013.

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
1208D00000XGeneral PracticeYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ01246ZMEDICARE PINCALIFORNIA
2ZZZ52952ZOTHERCALIFORNIABLUE CROSS/BLUE SHIELD
3CU0092MEDICARE PINCALIFORNIA
4050335MEDICARE PINCALIFORNIA
5050335MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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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