Organization Active NPI

Sierra Housecalls Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • Sonora, CA
National Provider Identifier
1801827555
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
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

Updated by the provider on Apr 11, 2008

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Gerontology Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA1747OtherCAMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.