SONORA COMMUNITY HOSPITAL NPI 1598962045

NPI Information

  • NPI: 1598962045
  • Provider Name: SONORA COMMUNITY HOSPITAL
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: SIERRA VASCULAR CLINIC
  • Address: 680 GUZZI LN
    STE 104
    SONORA, CA
    ZIP 95370
  • Phone: (209) 536-5090

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NPI Details

SONORA COMMUNITY HOSPITAL is a vascular surgery surgery in Sonora, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SONORA COMMUNITY HOSPITAL NPI is 1598962045. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sierra Vascular Clinic.

The provider's business location address is:

680 GUZZI LN
STE 104
SONORA, CA
ZIP 95370-288
Phone: (209) 536-5090
Fax: (209) 536-3585

The provider's authorized official is David L Larsen .
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 6/28/2007 and was last updated on 6/4/2009.

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
12086S0129XSurgeryVascular SurgeryYes

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
1050335MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2CU0092MEDICARE PINCALIFORNIA

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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