Ralph Edward Retherford, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A24305 Issued in CA

Practice address

20405 Lyons Bald MTN Rd
Sonora, CA 95370-8780

Phone

(209) 588-1424

Fax

(209) 588-1521

NPI assigned

Aug 21, 2008

Last updated

Aug 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Mathiesen Memorial Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Jamestown, CA
  • NPI 1255595484

  TX

  Medicare reassignment NPD
• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854
  Medicare reassignment NPD
• Ralph E Retherford MD Inc

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1952319816
  Authorized official Same address or phone
• Mathiesen Memorial Health Center

  • Primary Care Clinic/Center
  • Jamestown, CA
  • NPI 1356080022
  NPD
• Sonora Community Hospital

  dba Forest Road Health & Wellness Center

  • Rural Health Clinic/Center
  • Sonora, CA
  • NPI 1003014952

  Family Medicine

  NPD
• Sonora Community Hospital

  • Community/Retail Pharmacy
  • Sonora, CA
  • NPI 1740582568
  NPD

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1801043799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4990",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953701990",
            "telephone_number": "209-588-1424",
            "fax_number": "209-588-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20405 LYONS BALD MTN RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708780",
            "telephone_number": "209-588-1424",
            "fax_number": "209-588-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETHERFORD",
        "first_name": "RALPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A24305",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A24305",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A24305",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A24305",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A24305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Reid, L.C.S.W.
• Robert I. Reina, M.D.
• James K Reinhardt, CADC-CAS
• Resilience Counseling Center, Inc.
• Resiliency Village
• Revitalized Family Care
• Susan Rezin, LMFT
• Sami Rhodes
• Richa Mishra DDS Inc.
• Richard a. Munger M.D.,Inc.

• Family Medicine Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.