Organization Active NPI

Sonora Medical Group

  • Non-Pharmacy Dispensing Site
  • Rancho Cucamonga, CA
National Provider Identifier
1558533174
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
FS0117386 Issued in CA
Legal business name
SONORA MEDICAL GROUP
Practice address
10841 White Oak Ave
Suite 201
Rancho Cucamonga, CA 91730-3811
Phone
(909) 581-7274
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Albert Simpkins II
Title
Physician
Phone
(909) 581-7274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X FS0117386 CA Primary

Addresses

Primary practice location

10841 White Oak Ave
Suite 201
Rancho Cucamonga, CA 91730-3811

Mailing address

3607 Old Conejo Rd
Thousand Oaks, CA 91320-2123
Phone (805) 375-0800

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1558533174",
    "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": "10841 WHITE OAK AVE",
            "address_2": "SUITE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-581-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "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": "II"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "FS0117386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.