Organization Active NPI

Sonora Medical Group, Inc

  • Chronic Disease Hospital
  • Rancho Cucamonga, CA
National Provider Identifier
1013131481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
SONORA MEDICAL GROUP, INC
Practice address
10808 Foothill Blvd
Suite 160-439
Rancho Cucamonga, CA 91730
Phone
(909) 297-3413
Fax
(909) 297-3656
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sheila Fuentes
Title
Business Director
Phone
(909) 297-3413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X Primary

Addresses

Primary practice location

10808 Foothill Blvd
Suite 160-439
Rancho Cucamonga, CA 91730

Mailing address

10808 Foothill Blvd
Suite 160-439
Rancho Cucamonga, CA 91730-3889
Phone (909) 297-3413

National Provider Directory

National Provider Directory
Tax ID family
Sonora Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10808 Foothill Blvd
Ste 160439
Rancho Cucamonga, CA 91730
Phone (909) 297-3413

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013131481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD",
            "address_2": "SUITE 160-439",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "909-297-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD",
            "address_2": "SUITE 160-439",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-297-3413",
            "fax_number": "909-297-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "909-297-3413",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.