NPIMap

Organization Active NPI

Tuolumne Me-Wuk Indian Health Center, Inc.

  • Family Medicine Physician
  • Sonora, CA
National Provider Identifier
1124286885
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
550000723 Issued in CA
Legal business name
TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.
Practice address
19969 Greenley Rd
Suite B,C, & D
Sonora, CA 95370-5908
Phone
(209) 532-0028
Fax
(209) 532-0031
NPI assigned
May 29, 2008
Organization subpart
Yes
Parent organization
TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Becky Shokraii
Title
Chief Administrative Office
Phone
(209) 459-7933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 550000723 CA Primary

Addresses

Primary practice location

19969 Greenley Rd
Suite B,C, & D
Sonora, CA 95370-5908

Mailing address

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400

Other identifiers 2

IdentifierTypeStateIssuer
550000723OtherCASTATE LICENSE NUMBER
1619952397OtherCAORGANIZATION

Other names 1

  • Tuolumne Me-Wuk Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000861 CA Part B Supplier - Clinic/Group Practice 6507816386 Receives reassigned benefits from 45 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sonora, CA; Tuolumne, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Tuolumne Me-Wuk Indian Health Center Inc

Locations

850 Sanguinetti Rd
Sonora, CA 95370
Phone (209) 694-3870

19969 Greenley Rd
Ste Bc
Sonora, CA 95370
Phone (209) 532-0028

1311 Sanguinetti Rd
Ste C
Sonora, CA 95370
Phone (209) 928-5400

19969 Greenley Rd
Ste A
Sonora, CA 95370
Phone (209) 928-5400

19969 Greenley Rd
Ste B
Sonora, CA 95370
Phone (209) 532-0034

18670 Carter St
Tuolumne, CA 95379
Phone (209) 928-4279

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1124286885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18880 CHERRY VALLEY BLVD",
            "city": "TUOLUMNE",
            "state": "CA",
            "postal_code": "953799506",
            "telephone_number": "209-928-5400",
            "fax_number": "209-928-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19969 GREENLEY RD",
            "address_2": "SUITE B,C, & D",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705908",
            "telephone_number": "209-532-0028",
            "fax_number": "209-532-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "SHOKRAII",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICE",
        "authorized_official_telephone_number": "209-459-7933"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "550000723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "550000723",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION",
            "identifier": "1619952397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tuolumne Me-Wuk Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tuolumne Me-Wuk Health and Wellness Center",
            "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 Nov 21, 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.