Active NPI
Sonora Medical Group
- Non-Pharmacy Dispensing Site
- Rancho Cucamonga, CA
National Provider Identifier
1558533174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- FS0117386
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Riverside, CA
- NPI 1083886246
-
- Chronic Disease Hospital
- Rancho Cucamonga, CA
- NPI 1013131481
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.