NPIMap

Individual provider Active NPI

Timothy D Hooper

  • General Practice Physician
  • Sonora, CA
National Provider Identifier
1629097399
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G55188 Issued in CA
Practice address
13951 Mono Way
Ste a
Sonora, CA 95370-4856
Phone
(209) 532-3370
Fax
(209) 532-3340
NPI assigned
Jul 19, 2006
Last updated
Apr 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Primary 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 names 1

  • Sonora Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061011000737 CA Practitioner - General Practice 9537165766 Practice locations: Sonora, CA

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

Merit-based Incentive Payment System (MIPS)

Final score
24.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue103
Removal of skin lesions54
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55188CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Primary Care Family Medicine Past Accepting new patients
Madelyn Kahn MD Prof Corp Past Accepting new patients
Maynord's Chemical Dependency Recovery Centers Past Accepting new patients
Central Stockton Medical Clinic Family Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "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": [],
    "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

Verify at the official NPI Registry.