Active NPI
Sierra Housecalls Medical Group
- Geriatric Medicine (Family Medicine) Physician
- Sonora, CA
National Provider Identifier
1801827555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- SIERRA HOUSECALLS MEDICAL GROUP
- Practice address
- 183 Fairview LN
Suite C
Sonora, CA 95370-4856 - Phone
- (209) 532-4287
- NPI assigned
- Jul 5, 2006
- 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
- Matthew L Personius, M.D.
- Title
- Owner/President
- Phone
- (209) 532-4287
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Gerontology Clinical Nurse Specialist | 364SG0600X |
Addresses
Primary practice location
183 Fairview LN
Suite C
Sonora, CA 95370-4856
Mailing address
183 Fairview LN
Suite C
Sonora, CA 95370-4856
Phone (209) 532-4287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA1747 | Other | CA | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
183 Fairview Ln
Ste A
Sonora, CA 95370
Phone (209) 532-4287
13775 Mono Way
Ste A
Sonora, CA 95370
Phone (209) 532-4287
183 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-4287
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- San Diego, CA
- NPI 1629031521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207872000000",
"number": "1801827555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 FAIRVIEW LN",
"address_2": "SUITE C",
"city": "SONORA",
"state": "CA",
"postal_code": "953704856",
"telephone_number": "209-532-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "183 FAIRVIEW LN",
"address_2": "SUITE C",
"city": "SONORA",
"state": "CA",
"postal_code": "953704856",
"telephone_number": "209-532-4287"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA HOUSECALLS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-04-11",
"status": "A",
"authorized_official_last_name": "PERSONIUS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "209-532-4287",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DA1747",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
- Rich Wiley Shuey, D.C.
- Peter Allen Shumway, OD
- Sukhnandan Sidhu, M.D. ; M.B.,B.S.
- Sierra Care Surgery Inc
- Sierra Emergency Medical Group Inc.
- Sierra Lifenet
- Sierra Midwifery Professional Corporation (Sierra Midwifery)
- Sierra Natural Birth Center LLC
- Sierra Orthopedic Institute Medical Corporation (Restore Orthopedics and Sports Medicine)
- Sierra Orthopedic Institute Medical Corporation (Restore Orthopedic & Sports Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.