HICKORY CALIFORNIA PC
NPI 1194608869
Internal Medicine in Sonora, CA

Active since July 29, 2025
19929 GREENLEY RD, SONORA, CA 95370(814) 499-3009 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hickory California Pc NPPES

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

HICKORY CALIFORNIA PC (NPI 1194608869) is a healthcare organization registered as an internal medicine in Sonora, California and active in the NPI registry since July 2025. The organization lists Daniel Olivero, Owner, as its authorized official.

NPPES Registry Identity

NPI1194608869
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHICKORY CALIFORNIA PC
Location Address19929 GREENLEY RDSonora, CA 95370-5996
Mailing Address15 America Ave Unit 103Lakewood, NJ 08701-4583 · (814) 499-3009
Organization SubpartNo
Authorized OfficialDaniel OliveroOwner · (814) 499-3009
Enumeration DateJuly 29, 2025
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1194608869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
19929 GREENLEY RD, Sonora, CA 95370

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)

Hickory California Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hickory California PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1457008211
1108 WARD AVE
Patterson, CA 95363
(209) 892-1300
✔ PECOS✔ Accepts Medicare55 mi
Family Practice
NPI 1629069760
4860 Y ST STE 1600
Sacramento, CA 95817
(916) 734-2833
✔ PECOS✔ Accepts Medicare71 mi
General Surgery
NPI 1366734618
109 S LAKE MERCED HLS APT 3B
San Francisco, CA 94132
(773) 456-3316
✔ PECOS✔ Accepts Medicare117 mi
Internal Medicine
NPI 1902144512
1243 SKYTOP MOUNTAIN RD STE 4
Port Matilda, PA 16870
(602) 400-3283
✔ PECOS2,255 mi
Nurse Practitioner
NPI 1831079920
7840 IMPERIAL HWY STE B
Downey, CA 90242
(818) 213-6325
✔ PECOS

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

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 Hickory California PC's NPI number?

The NPI number for Hickory California PC is 1194608869. It was assigned to this organization in the NPPES registry on July 29, 2025.

Where is Hickory California PC located?

Hickory California PC is located at 19929 Greenley Rd, Sonora, CA 95370. The listed phone number is (814) 499-3009.

What is Hickory California PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hickory California PC enrolled in Medicare?

Yes. Hickory California PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hickory California PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Hickory California PC, in Family Practice, General Surgery, Internal Medicine and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Hickory California PC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.