Avalon Care Center-Sonora LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030000674 Issued in CA

Legal business name

AVALON CARE CENTER-SONORA LLC

Practice address

19929 Greenley Rd
Sonora, CA 95370-5996

Phone

(209) 533-2500

Fax

(209) 533-0728

NPI assigned

Sep 6, 2005

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Kirton

Title

Ceo/Chairman

Phone

(801) 596-8844

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1356335384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841164740",
            "telephone_number": "801-596-8844",
            "fax_number": "801-596-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19929 GREENLEY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705996",
            "telephone_number": "209-533-2500",
            "fax_number": "209-533-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CARE CENTER-SONORA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "KIRTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO/CHAIRMAN",
        "authorized_official_telephone_number": "801-596-8844"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "030000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC55736G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur N Donaldson M D Inc (Sonora Eye Surgery Medical Clinic)
• Arthur N Donaldson M D Inc (Sonora Eye Surgery Center)
• Arthur N. Donaldson, M.D., Inc. (Donaldson Eye Care Associates)
• Kennedi Ashton
• Donald Craig Auwinger
• Margaret Avila
• Nancy Jeanne Avila, P.T.
• Bette Axiak
• Dion Aye
• Karen Michelle Bachtelle, LCSW

• Skilled Nursing Facility in Sonora, CA
• Providers in Sonora, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.