Sonora Medical Group

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

AS1156567 Issued in CA

Legal business name

SONORA MEDICAL GROUP

Practice address

10600 Magnolia Ave
Suite 1
Riverside, CA 92505-1819

Phone

(909) 581-7274

Fax

(909) 581-7275

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Albert Simpkins Jr.

Title

Physician

Phone

(909) 581-7274

Specialties & licenses 1

Addresses

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.

• Sonora Medical Group

  • Non-Pharmacy Dispensing Site
  • Rancho Cucamonga, CA
  • NPI 1558533174
  NPD tax ID
• Sonora Medical Group, Inc

  • Chronic Disease Hospital
  • Rancho Cucamonga, CA
  • NPI 1013131481
  NPD tax ID

Locations

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1083886246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 OLD CONEJO RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202123",
            "telephone_number": "805-375-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 MAGNOLIA AVE",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051819",
            "telephone_number": "909-581-7274",
            "fax_number": "909-581-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "SIMPKINS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-581-7274",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "AS1156567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jianing Song, DMD
• Kyungsub Song, L.AC.
• Margaret Song, MD
• Stephanie Song, MD
• Susrap Song, MD
• Sonsy Behavioral a Medical Corporation
• Joshua Sony
• Sylvia Soo, M.D.
• Kianoush Kenneth Soofi, DO
• Sopheap Tang DMD Dental Corporation

• Non-Pharmacy Dispensing Site in Riverside, CA
• Providers in Riverside, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.