NPIMap

Individual provider Active NPI

Mathea S Salas, D.O.

  • Family Medicine Physician
  • Sonora, CA
National Provider Identifier
1184781932
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7922 Issued in CA
Practice address
12791 Cabezut Rd
Sonora, CA 95370-5926
Phone
(209) 532-5524
Fax
(209) 532-1513
NPI assigned
Jan 2, 2007
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7922 CA Primary

Addresses

Primary practice location

12791 Cabezut Rd
Sonora, CA 95370-5926

Mailing address

12791 Cabezut Rd
Sonora, CA 95370-5926
Phone (209) 532-5524

Other names 1

  • Mathea Sonsteng Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821000801 CA Practitioner - Family Practice 7810953759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

19747 Greenley Rd
Suite S2
Sonora, CA 95370-5998
Phone (209) 536-3320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7922CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Family Medicine CurrentSince May 9, 2016 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 8, 2024 Accepting new patients
Sonora Community Hospital Family Medicine CurrentSince May 1, 2014 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 8, 2024 Accepting new patients
Sonora Community Hospital CurrentSince May 1, 2014 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Avera Marshall Past Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

12791 Cabezut Rd
Sonora, CA 95370
Phone (209) 532-5524

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

19747 Greenley Rd
Ste S2
Sonora, CA 95370
Phone (209) 536-2665

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

Organizations & group practices 9

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1184781932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 CABEZUT RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705926",
            "telephone_number": "209-532-5524",
            "fax_number": "209-532-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 CABEZUT RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705926",
            "telephone_number": "209-532-5524",
            "fax_number": "209-532-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAS",
        "first_name": "MATHEA",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATHEA",
            "last_name": "SONSTENG",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.