Individual provider Active NPI

Sonja White, PA-C

  • Medical Physician Assistant
  • Stockton, CA
National Provider Identifier
1215189402
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51861 Issued in CA
Practice address
4555 Precissi LN
Stockton, CA 95207-5743
Phone
(209) 477-4103
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 51861 CA Primary

Addresses

Primary practice location

4555 Precissi LN
Stockton, CA 95207-5743

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7526

Other practice location 1

4400 Duckhorn Dr Ste 100
Sacramento, CA 95834-2680
Phone (916) 575-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306000902 CA Practitioner - Physician Assistant 3072839299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc CurrentSince Jul 5, 2022 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Dignity Health Medical Foundation CurrentSince May 27, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Jul 5, 2022 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

3000 Q St
Fl 3
Sacramento, CA 95816
Phone (916) 733-3400

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1215189402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-287-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 PRECISSI LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075743",
            "telephone_number": "209-477-4103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Duckhorn Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958342680",
            "country_code": "US",
            "telephone_number": "916-575-8000",
            "fax_number": "916-575-8099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SONJA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.