Solo Internal Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G079608 Issued in CA

Legal business name

SOLO INTERNAL MEDICINE

Doing business as

Solo Internal Medicine

Practice address

14568A Mono Way
Sonora, CA 95370-8858

Phone

(209) 768-1217

Fax

(209) 533-2061

NPI assigned

Jun 19, 2007

Reactivated

Oct 1, 2008

Last updated

Oct 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Johnson Kar Tsun Wong, M.D.NPI 1184875759

Title

Physician

Phone

(209) 768-1217

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Solo Internal Medicine Doing business as

Locations

Practitioners 1

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.

• Johnson Kar Tsun Wong, M.D.

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1184875759
  Authorized official Same address or phone

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1902057573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14568A MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708858",
            "telephone_number": "209-768-1217",
            "fax_number": "209-533-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14568A MONO WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708858",
            "telephone_number": "209-768-1217",
            "fax_number": "209-533-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "replacement_npi": "1902057573",
        "organization_name": "SOLO INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-10-01",
        "deactivation_date": "2008-08-21",
        "reactivation_date": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_middle_name": "KAR TSUN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-768-1217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G079608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G796080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solo Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven A Smith, M.D.
• Christine Elaine Snedeger
• Barbara A Snyder, PA, C/NP
• Stacey Soares, MA, MFT
• Anne Lynn Sobczak, ASW
• Sonora Anesthesia Services a Medical Group Inc
• Sonora Community Hospital (Forest Road Health & Wellness Center)
• Sonora Community Hospital (Sierra Cardiology Department)
• Sonora Community Hospital (Greenley Primary Care)
• Sonora Community Hospital (Foothill Primary Care)

• Primary Care Clinic/Center in Sonora, CA
• Providers in Sonora, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.