Active NPI
Timothy D Hooper
- General Practice Physician
- Sonora, CA
National Provider Identifier
1629097399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G55188
- Practice address
- 13951 Mono Way
Ste a
Sonora, CA 95370-4856 - Phone
- (209) 532-3370
- Fax
- (209) 532-3340
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Stockton, CA
- NPI 1932148343
Family Medicine
-
- Medical Specialty Clinic/Center
- San Francisco, CA
- NPI 1194026963
-
- Substance Abuse Rehabilitation Facility
- Tuolumne, CA
- NPI 1588728679
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Modesto, CA
- NPI 1861012916
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Northwestern University Feinberg Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13951 Mono Way
Suite a
Sonora, CA 95370-2830
Phone (209) 532-3370
Hospital & facility affiliations
- Adventist Health Home Care Services
- Careone Home Health and Hospice, Inc
- Atta Home Healthcare
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 24.99 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 83.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 103 |
| Removal of skin lesions | 54 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061011000737 | CA | Practitioner - General Practice | 9537165766 | Practice locations: Sonora, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55188 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Stockton Medical Clinic | Family Medicine | Past | Accepting new patients |
| Madelyn Kahn MD Prof Corp | Past | Accepting new patients | |
| Sonora Primary Care | Family Medicine | Past | Accepting new patients |
| Maynord'S Chemical Dependency Recovery Centers | Past | Accepting new patients |
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G55188 | CA | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | G55188 | CA | |
| General Practice Physician | 208D00000X | G55188 | CA | Primary |
| Pain Medicine Physician | 208VP0000X | G55188 | CA |
Addresses
NPPES NPI RegistryPrimary practice location
13951 Mono Way
Ste a
Sonora, CA 95370-4856
Mailing address
18701 Tiffeni Dr
Suite 1a
Twain Harte, CA 95383-9406
Phone (209) 586-1400
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ20686Z | Medicaid | CA |
Other names 1
NPPES NPI Registry- Sonora Primary Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2011.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1629097399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18701 TIFFENI DR",
"address_2": "SUITE 1A",
"city": "TWAIN HARTE",
"state": "CA",
"postal_code": "953839406",
"telephone_number": "209-586-1400",
"fax_number": "209-586-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13951 MONO WAY",
"address_2": "STE A",
"city": "SONORA",
"state": "CA",
"postal_code": "953704856",
"telephone_number": "209-532-3370",
"fax_number": "209-532-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOPER",
"first_name": "TIMOTHY",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G55188",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "G55188",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G55188",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G55188",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ20686Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SONORA",
"last_name": "CARE",
"middle_name": "PRIMARY",
"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 Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.