NPIMap

Organization Active NPI

County of Tuolumne

  • Public Health or Welfare Agency
  • Sonora, CA
National Provider Identifier
1609059724
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF TUOLUMNE
Practice address
20111 Cedar Rd N
Sonora, CA 95370-5939
Phone
(209) 533-7419
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Ann Connolly
Title
Human Services Agency Director
Phone
(209) 533-5719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

20111 Cedar Rd N
Sonora, CA 95370-5939

Mailing address

20111 Cedar Rd N
Sonora, CA 95370-5939

Other identifiers 1

IdentifierTypeStateIssuer
EXE70018FMedicaidCA

Other names 1

  • Targeted Case Management Other name

National Provider Directory

National Provider Directory
Tax ID family
Tuolumne County39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

20111 Cedar Rd N
Sonora, CA 95370
Phone (209) 533-7400

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1609059724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 CEDAR RD N",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 CEDAR RD N",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705939",
            "telephone_number": "209-533-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TUOLUMNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "HUMAN SERVICES AGENCY DIRECTOR",
        "authorized_official_telephone_number": "209-533-5719"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EXE70018F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Targeted Case Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.