Organization Active NPI

Daniel Meador MD Inc

Doing business as Sierra Elder Care

  • Internal Medicine Physician
  • Sonora, CA
National Provider Identifier
1063941045
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANIEL MEADOR MD INC
Doing business as
Sierra Elder Care
Practice address
109 E Jackson St
Sonora, CA 95370-5763
Phone
(669) 900-5721
Fax
(209) 288-2461
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Daniel Meador, MDNPI 1619925989
Title
Owner
Phone
(669) 900-5721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

109 E Jackson St
Sonora, CA 95370-5763

Mailing address

109 E Jackson St
Sonora, CA 95370-5763
Phone (669) 900-5721

Other practice location 1

19929 Greenley Rd
Sonora, CA 95370-5996
Phone (209) 454-7861

Other names 1

  • Sierra Elder Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907000819 CA Part B Supplier - Clinic/Group Practice 5395018717 Receives reassigned benefits from 1 practitioner
Practice locations: Sonora, CA

National Provider Directory

National Provider Directory

Locations

782 Delnero Dr
Sonora, CA 95370
Phone (209) 532-4008

673 Pauline Ct
Sonora, CA 95370
Phone (209) 352-3851

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1063941045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E JACKSON ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705763",
            "telephone_number": "669-900-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E JACKSON ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705763",
            "telephone_number": "669-900-5721",
            "fax_number": "209-288-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19929 Greenley Rd",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953705996",
            "country_code": "US",
            "telephone_number": "209-454-7861",
            "fax_number": "209-288-2461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL MEADOR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MEADOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "669-900-5721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.