NPIMap

Individual provider Active NPI

Timothy R. Day

  • Physician Assistant
  • Sonora, CA
National Provider Identifier
1730196130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA010895 Issued in CA
Practice address
101 Hospital Rd
Tuolumne General Hospital
Sonora, CA 95370-5227
Phone
(209) 533-7128
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA010895 CA Primary

Addresses

Primary practice location

101 Hospital Rd
Tuolumne General Hospital
Sonora, CA 95370-5227

Mailing address

101 Hospital Rd
Tuolumne General Hospital
Sonora, CA 95370-5227
Phone (209) 533-7128

Other identifiers 1

IdentifierTypeStateIssuer
OPA010895OtherCAPPIN

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
I20041008000395 CA Practitioner - Physician Assistant 2961461553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

23 N Main St
Suite 101
Angels Camp, CA 95222-8001
Phone (209) 736-9130

23 N Main St
Suite 201
Angels Camp, CA 95222-9365
Phone (209) 536-5774

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

Hospital & facility affiliations

  • Atta Home Healthcare Home health agency, Modesto, CA, CCN 559552
  • Adventist Health Home Care Services Home health agency, Sonora, CA, CCN 557561
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA010895CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Dec 1, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 1, 2021 Accepting new patients
Sonora Community Hospital CurrentSince Mar 21, 2018 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

193 Fairview Ln
Ste B
Sonora, CA 95370
Phone (209) 532-5100

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

Organizations & group practices 6

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730196130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "address_2": "TUOLUMNE GENERAL HOSPITAL",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705227",
            "telephone_number": "209-533-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "address_2": "TUOLUMNE GENERAL HOSPITAL",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705227",
            "telephone_number": "209-533-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "TIMOTHY",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA010895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "OPA010895",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.