NPIMap

Organization Active NPI

M a C T Health Board Incorporated

Doing business as MACT Sonora Women's Health Center

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
National Provider Identifier
1871233692
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
M A C T HEALTH BOARD INCORPORATED
Doing business as
MACT Sonora Women's Health Center
Practice address
13975 Mono Way Ste G
Sonora, CA 95370-2824
Phone
(209) 288-6502
Fax
(209) 674-3910
NPI assigned
Mar 30, 2022
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mariela Contreras, MBA
Title
Executive Director
Phone
(209) 754-6262

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU
Clinic/Center 261Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Rural Health Clinic/Center 261QR1300X NU
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

13975 Mono Way Ste G
Sonora, CA 95370-2824

Mailing address

PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6262

Other names 1

  • MACT Sonora Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129002202 CA Part A Provider - Federally Qualified Health Center (FQHC) 8325936974 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sonoro, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871233692. Details of each certification follow.

Federally qualified health center certification: CCN A01832

Legal name
M A C T HEALTH BOARD INCORPORATED
Doing business as
MACT WOMEN'S HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 16, 2024
Last certification
Jan 16, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1979 in CA
Enrollment address
13975 Mono Way
Ste G
Sonoro, CA 95370-2824

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

13975 Mono Way
Ste I
Sonora, CA 95370
Phone (209) 533-9603

13975 Mono Way
Ste J
Sonora, CA 95370
Phone (209) 533-3996

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Justin Baugh Individual Corporate DirectorBoard Chairperson Jun 26, 2017
George Gurion Individual Corporate DirectorBoard Vice Chair Apr 22, 2023
Carolyn Sayers Individual Corporate DirectorBoard Secretary Jun 3, 2025
Mariela Contreras Individual Corporate DirectorExecutive Director May 6, 2026
W-2 Managing EmployeeExecutive Director Jul 25, 2015
Nancy Ehlers Individual Corporate DirectorBoard Treasurer Jan 29, 2019
M a C T Health Board Incorporated Organization, Angels Camp, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 1979 100%

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1871233692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY STE G",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-288-6502",
            "fax_number": "209-674-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A C T HEALTH BOARD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-754-6262",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MACT Sonora Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.