SONORA PRIMARY CARE
NPI 1053675488
Family Medicine in Sonora, CA

Active since June 29, 2012CLIA 05D2067403 · Waiver
13951 MONO WAY, SUITE A, SONORA, CA 95370(209) 532-3370(209) 532-3340 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonora Primary Care NPPES

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

SONORA PRIMARY CARE (NPI 1053675488) is a healthcare organization registered as a family medicine in Sonora, California and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Timothy D Hooper, Md, President, as its authorized official.

NPPES Registry Identity

NPI1053675488
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSONORA PRIMARY CARE
Location Address13951 MONO WAY, SUITE ASonora, CA 95370-2830
Mailing Address13951 Mono Way, Suite ASonora, CA 95370-2830 · (209) 532-3370 · Fax (209) 532-3340
Fax(209) 532-3340
Organization SubpartNo
Authorized OfficialTimothy D HooperMd, President · (209) 532-3370
Enumeration DateJune 29, 2012
NPI 1053675488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G55188
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13951 MONO WAY, Sonora, CA 95370

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 05D2067403

Sonora Primary Care · Sonora, CA
Active · expires Oct 14, 2027
CLIA Number05D2067403
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorTimothy D. Hooper, MD
Laboratory Phone(209) 532-3370
Laboratory LocationSonora Primary Care13951 Mono Way Ste A, Sonora, CA 95370
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
13951 MONO WAY, STE A
SONORA, CA 95370

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 Primary Care's NPI number?

The NPI number for Sonora Primary Care is 1053675488. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is Sonora Primary Care located?

Sonora Primary Care is located at 13951 Mono Way Suite A, Sonora, CA 95370. The listed phone number is (209) 532-3370.

What is Sonora Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sonora Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2067403) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sonora Primary Care was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.