NPIMap

Individual provider Active NPI

Andreas Wolf, MD

  • Interventional Cardiology Physician
  • Sonora, CA
National Provider Identifier
1073519336
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A51954 Issued in CA
Practice address
900 Greenley Rd Ste 911
Sonora, CA 95370-5287
Phone
(209) 536-3249
NPI assigned
Jun 22, 2005
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A51954 CA Primary

Addresses

Primary practice location

900 Greenley Rd Ste 911
Sonora, CA 95370-5287

Mailing address

6 Goodwin CT
Redwood City, CA 94061-2470
Phone (609) 439-6385

Other identifiers 3

IdentifierTypeStateIssuer
7193107OtherNJAETNA PPO #
3823193OtherNJAETNA HMO #
P2797586OtherNJOXFORD ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050104000325 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294648143 Reassigns benefits to 2 organizations
I20240616000006 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5294648143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

900 Greenley Rd
Suite 911
Sonora, CA 95370-5287
Phone (209) 532-0511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51954CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Apr 17, 2024 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Jan 1, 2016 Accepting new patients
Princeton Healthcare Provider Group LLC Current Accepting new patients
Sonora Community Hospital CurrentSince Apr 17, 2024 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Comprehensive Cardiology Consultants Past Accepting new patients
LHHN Medical, P.C. Past Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1073519336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GOODWIN CT",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940612470",
            "telephone_number": "609-439-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GREENLEY RD STE 911",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705287",
            "telephone_number": "209-536-3249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ANDREAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A51954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "7193107",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "3823193",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "P2797586",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.