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FOREST ROAD HEALTH & WELLNESS CENTER
NPI 1003014952
Clinic/Center - Rural Health in Sonora, CA

Active since July 03, 2007CLIA Certified · 5 labs
193 FAIRVIEW LN, SONORA, CA 95370(209) 536-5100(209) 536-5108 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2019, Oct 25, 2018, Sep 28, 2016 (3 updates tracked since 2016).

About Forest Road Health & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOREST ROAD HEALTH & WELLNESS CENTER (NPI 1003014952) is a healthcare organization registered as a rural health in Sonora, California and active in the NPI registry since July 2007. The organization holds 5 active CLIA laboratory certificates and lists Gregory D Mcculloch, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003014952
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSONORA COMMUNITY HOSPITAL
Location Address193 FAIRVIEW LNSonora, CA 95370-4828
Mailing AddressPo Box 398852San Francisco, CA 94139-8852 · (209) 536-3900 · Fax (209) 533-7696
Phone(209) 536-5100
Fax(209) 536-5108
Organization SubpartYes
Authorized OfficialGregory D MccullochCeo · (209) 536-5011
Enumeration DateJuly 3, 2007
Last NPPES UpdateAugust 22, 20193 updates tracked since enumeration
✔ NPI 1003014952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedDentistTaxonomy 122300000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedSurgeryTaxonomy 208600000X
193 FAIRVIEW LN, Sonora, CA 95370
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Other Names 1

Doing Business AsForest Road Health & Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Forest Road Health & Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

126

Medicare enrollment records show 126 clinicians reassign Medicare billing to Forest Road Health & Wellness Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner16
Cardiovascular Disease (Cardiology)11
Family Practice11
Obstetrics/Gynecology11
General Surgery10
Gastroenterology8
Orthopedic Surgery8
Pediatric Medicine6
21 other specialties45

Nearest to this location (20)

See all 126
Zachary Barlow, MD
Family Practice
NPI 1013584127
193 FAIRVIEW LN
Sonora, CA 95370
(209) 536-5100
✔ PECOS✔ Accepts MedicareSame address
David Bohannon, D.O.
Psychiatry
NPI 1881072643
193 FAIRVIEW LN STE B
Sonora, CA 95370
(209) 536-5100
✔ PECOS✔ Accepts MedicareSame address
Matthew Narron, PSY.D.
Clinical Psychologist
NPI 1881831659
193 FAIRVIEW LN STE K
Sonora, CA 95370
(209) 536-5144
✔ PECOS✔ Accepts MedicareSame address
Jennifer Neufeld Trujillo, MD
Pediatric Medicine
NPI 1861482671
193 SOUTH FAIRVIEW LANE STE L
Sonora, CA 95370
(209) 536-5120
✔ PECOSSame address
Tamara Chambless, M.D.
Psychiatry
NPI 1952346785
193 FAIRVIEW LN STE K
Sonora, CA 95370
(209) 536-5144
✔ PECOS✔ Accepts MedicareSame address
Matthew Personius, M.D.
Family Practice
NPI 1528022712
183 FAIRVIEW LN SUITE A
Sonora, CA 95370
(209) 532-4287
✔ PECOS✔ Accepts MedicareSame address
Jacey Rodriguez-Serva, F.N.P.
Nurse Practitioner
NPI 1215255062
690 GUZZI LN STE C
Sonora, CA 95370
(209) 532-1919
✔ PECOS✔ Accepts Medicare1.0 mi
Geoffrey Kraemer, DPM
Podiatry
NPI 1922448935
680 GUZZI LN STE 101
Sonora, CA 95370
(209) 536-5755
✔ PECOS✔ Accepts Medicare1.0 mi
Stephen Hopkins, MD
General Surgery
NPI 1265498539
680 GUZZI LANE SUITE 103
Sonora, CA 95370
(209) 532-5528
✔ PECOS✔ Accepts Medicare1.0 mi
Jessica Nash, DO
Gastroenterology
NPI 1437670544
680 GUZZI LN STE 206
Sonora, CA 95370
(209) 536-5760
✔ PECOS✔ Accepts Medicare1.0 mi
Julia Dean, FNP
Nurse Practitioner
NPI 1932812138
680 GUZZI LN STE 206
Sonora, CA 95370
(209) 536-5760
✔ PECOS✔ Accepts Medicare1.0 mi
Michael Portillo, M.D.
Family Practice
NPI 1306235957
680 GUZZI LN STE 106
Sonora, CA 95370
(209) 536-5770
✔ PECOS✔ Accepts Medicare1.0 mi
Douglas Ankrom, M.D.
Urology
NPI 1558390393
680 GUZZI LN STE 205
Sonora, CA 95370
(209) 533-3321
✔ PECOS1.0 mi
John Nelligan, MD
Orthopedic Surgery
NPI 1952491151
680 GUZZI LN STE 102
Sonora, CA 95370
(209) 536-5780
✔ PECOS✔ Accepts Medicare1.0 mi
Airell Nygaard, M.D.
Orthopedic Surgery
NPI 1417920760
680 GUZZI LN SUITE 102
Sonora, CA 95370
(209) 588-1800
✔ PECOS1.0 mi
Donald Westbie, M.D.
Internal Medicine
NPI 1912984436
680 GUZZI LN SUITE 201
Sonora, CA 95370
(209) 536-5790
✔ PECOS✔ Accepts Medicare1.0 mi
Chrystal Bradley, M.D.
Obstetrics/Gynecology
NPI 1366886392
1000 GREENLEY RD
Sonora, CA 95370
(209) 536-3750
✔ PECOS✔ Accepts Medicare1.0 mi
Carl Hauser, M.D.
General Surgery
NPI 1831116425
1000 GREENLEY RD
Sonora, CA 95370
(617) 632-9929
✔ PECOS1.0 mi
Krysta Wolken, NP-C
Nurse Practitioner
NPI 1073914347
900 GREENLEY RD STE 922
Sonora, CA 95370
(209) 536-3750
✔ PECOS✔ Accepts Medicare1.1 mi
James Reese, MD FACS
Otolaryngology
NPI 1538173059
795 MORNING STAR DR
Sonora, CA 95370
(209) 533-2545
✔ PECOS✔ Accepts Medicare1.1 mi
See all 126 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0934430

Sonora Community Hospital Dba Adventist Health Sonora Rural Health Center · Sonora, CA
Active · expires Sep 30, 2028
CLIA Number05D0934430
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 1, 2026
Certificate Expiration DateSeptember 30, 2028
Laboratory DirectorDr. Zachary Barlow
Laboratory Phone(209) 536-5052
Laboratory LocationSonora Community Hospital Dba Adventist Health Sonora Rural Health Center193 S Fairview Lane, Sonora, CA 95370
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0676863

Sonora Community Hospital Dba Prompt Care Indian Rock · Sonora, CA
Active · expires Jan 31, 2028
CLIA Number05D0676863
Laboratory TypePrompt Care
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorStephanie Stuart
Laboratory Phone(209) 536-5052
Laboratory LocationSonora Community Hospital Dba Prompt Care Indian Rock14550 Highway 108, Sonora, CA 95370
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0963837

Sonora Community Hospital Dba Anti-Coagulation Clinic · Sonora, CA
Active · expires Aug 9, 2027
CLIA Number05D0963837
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorHannah B. Mirrashed MD
Laboratory Phone(209) 536-3720
Laboratory LocationSonora Community Hospital Dba Anti-Coagulation Clinic19747 Greenley Road, Sonora, CA 95370
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2026042

Sonora Community Hospital Dba Adventist Health Pavilion · Sonora, CA
Active · expires Jun 21, 2027
CLIA Number05D2026042
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorDr. Micheal Portillo
Laboratory Phone(209) 536-5052
Laboratory LocationSonora Community Hospital Dba Adventist Health Pavilion900 Mono Way 2nd Floor, Sonora, CA 95370
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2193554

Sonora Community Hospital Dba Sonora Adventist Health · Sonora, CA
Active · expires Mar 2, 2027
CLIA Number05D2193554
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorStephanie Stuart
Laboratory Phone(209) 536-5052
Laboratory LocationSonora Community Hospital Dba Sonora Adventist Health1000 Greenley Rd, Sonora, CA 95370
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sonora Community Hospital's NPI number?

The NPI number for Sonora Community Hospital is 1003014952. It was assigned to this organization in the NPPES registry on July 3, 2007. The provider is doing business as Forest Road Health & Wellness Center.

Where is Sonora Community Hospital located?

Sonora Community Hospital is located at 193 Fairview Ln, Sonora, CA 95370. The listed phone number is (209) 536-5100.

What is Sonora Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Sonora Community Hospital enrolled in Medicare?

Yes. Sonora Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sonora Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 126 clinicians in 29 Medicare specialties reassign their Medicare billing to Sonora Community Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (16), Cardiovascular Disease (Cardiology) (11) and Family Practice (11). Of these, 6 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sonora Community Hospital hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Sonora Community Hospital was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.