Area 12 Agency on Aging

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AREA 12 AGENCY ON AGING

Practice address

19074 Standard Rd Ste a
Sonora, CA 95370-7542

Phone

(209) 532-6272

Fax

(209) 532-6501

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By 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

Pauline White

Title

Executive Director

Phone

(209) 532-6272

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1609206846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19074 STANDARD RD., SUITE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-532-6272",
            "fax_number": "209-532-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19074 STANDARD RD STE A",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953707542",
            "telephone_number": "209-532-6272",
            "fax_number": "209-532-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA 12 AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-532-6272"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSS00032F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Andrews, LMFT
• Amanda Stephanie Ankrom, DDS
• Douglas Ankrom, M.D.
• Nicole Archer, RN
• Gerard Emile Ardron, M.D.
• Ocean Arellano, RDHAP
• Michael L Arnold, DC
• Nansea L. C. Arquette, L.C.S.W.
• Arthur N Donaldson M D Inc (Sonora Eye Surgery Medical Clinic)
• Arthur N Donaldson M D Inc (Sonora Eye Surgery Center)

• Case Management Agency in Sonora, CA
• Providers in Sonora, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.