Active NPI
Tuolumne Mewuk Indian Health Center, Inc
- Family Medicine Physician
- Tuolumne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G50654
- Legal business name
- TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC
- Practice address
- 18880 Cherry Valley Blvd
Tuolumne, CA 95379-9612 - Phone
- (209) 928-5450
- Fax
- (209) 928-5414
- NPI assigned
- Dec 14, 2005
- Last updated
- Nov 21, 2025
- 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
- Becky Shokraii
- Title
- Chief Administrative Officer
- Phone
- (209) 459-7933
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY18496 | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Family Medicine Physician | 207Q00000X | G73139 | CA | |
| Family Medicine Physician | 207Q00000X | 20A7824 | CA | |
| Family Medicine Physician | 207Q00000X | G32948 | CA | |
| Family Medicine Physician | 207Q00000X | G50654 | CA | Primary |
| Pediatrics Physician | 208000000X | A53764 | CA | |
| Psychiatry Physician | 2084P0800X | A62628 | CA | |
| Physician Assistant | 363A00000X | PA15883 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP14383 | CA |
Addresses
Primary practice location
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9612
Mailing address
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050128000861 | CA | Part B Supplier - Clinic/Group Practice | 6507816386 |
Receives reassigned benefits from 45 practitioners 1 other NPI on this enrollment Practice locations: Sonora, CA; Tuolumne, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Tuolumne Me-Wuk Health and Wellness Center
- Family Medicine Physician
- Sonora, CA
- NPI 1124286885
O20050128000861
National Provider Directory
National Provider DirectoryLocations
200 W Arbor Dr
Los Angeles, CA 90074
1311 Sanguinetti Rd
Ste C
Sonora, CA 95370
Phone (209) 928-5400
14550 Mono Way
Sonora, CA 95370
Phone (209) 532-7192
19969 Greenley Rd
Ste A
Sonora, CA 95370
Phone (209) 928-5400
19969 Greenley Rd
Ste E
Sonora, CA 95370
850 Sanguinetti Rd
Sonora, CA 95370
Phone (209) 694-3870
18670 Carter St
Tuolumne, CA 95379
Phone (209) 928-4279
Practitioners & affiliated clinicians
Practitioners 61
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Sonora, CA
- NPI 1801810049
-
- Marriage & Family Therapist
- Modesto, CA
- NPI 1184098071
-
- Physical Medicine & Rehabilitation Physician
- Emeryville, CA
- NPI 1245015338
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1275898868
-
- Pediatric Physical Therapist
- Sonora, CA
- NPI 1437845112
-
- Physical Therapist
- Sonora, CA
- NPI 1982842092
-
- Physical Therapist
- Sonora, CA
- NPI 1699048017
-
- Optometrist
- Colton, CA
- NPI 1841233590
-
- Family Nurse Practitioner
- Sonora, CA
- NPI 1083014559
-
- Family Nurse Practitioner
- Lafayette, CA
- NPI 1942892815
-
- Psychiatry Physician
- San Jose, CA
- NPI 1255478947
-
- Family Nurse Practitioner
- Sunland, CA
- NPI 1306392873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1619952397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18880 CHERRY VALLEY BLVD",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953799506",
"telephone_number": "209-928-5400",
"fax_number": "209-928-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18880 CHERRY VALLEY BLVD",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953799612",
"telephone_number": "209-928-5450",
"fax_number": "209-928-5414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A",
"authorized_official_last_name": "SHOKRAII",
"authorized_official_first_name": "BECKY",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "209-459-7933"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY18496",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G73139",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A7824",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G32948",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G50654",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A53764",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A62628",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15883",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP14383",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuolumne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.