Sonora Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G55188 Issued in CA

Legal business name

SONORA PRIMARY CARE

Practice address

13951 Mono Way
Suite a
Sonora, CA 95370-2830

Phone

(209) 532-3370

Fax

(209) 532-3340

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Timothy D Hooper, MDNPI 1629097399

Title

MD, President

Phone

(209) 532-3370

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy D Hooper

  • General Practice Physician
  • Sonora, CA
  • NPI 1629097399

  Family Medicine

  NPD (past) Authorized official
• Brandon Winkles, PA

  • Physician Assistant
  • Sonora, CA
  • NPI 1902201643
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1053675488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13951 MONO WAY",
            "address_2": "SUITE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702830",
            "telephone_number": "209-532-3370",
            "fax_number": "209-532-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 MONO WAY",
            "address_2": "SUITE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702830",
            "telephone_number": "209-532-3370",
            "fax_number": "209-532-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD, PRESIDENT",
        "authorized_official_telephone_number": "209-532-3370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonora Community Hospital
• Sonora Community Hospital
• Sonora Community Hospital
• Sonora Oral & Maxillofacial Surgery Dental Group
• Sonora Pharmacy
• Sonora Pulmonary and Critical Care Medicine
• Sonora Pulmonary and Critical Care Medicine, Professional Corporation
• Sonora Smiles Corp
• Sonora SNF Operations LLC
• Sonora Surgery Center Inc

• All providers in Sonora, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.