1. Home
  2. Directory
  3. California
  4. Groveland
  5. Family Medicine
  6. NPI Profile

SONORA COMMUNITY HOSPITAL
NPI 1356332274
Family Medicine in Groveland, CA

Active since October 31, 2005CLIA 05D0680564 · Waiver
18661 HIGHWAY 120, GROVELAND, CA 95321(209) 962-7121(209) 533-7696 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Sep 28, 2016 (2 updates tracked since 2016).

About Sonora Community Hospital NPPES

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

SONORA COMMUNITY HOSPITAL (NPI 1356332274), doing business as Groveland Family Medical Center, is a healthcare organization registered as a family medicine in Groveland, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Gregory D. Mcculloch, President, as its authorized official.

NPPES Registry Identity

NPI1356332274
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSONORA COMMUNITY HOSPITAL
Location Address18661 HIGHWAY 120Groveland, CA 95321
Mailing Address1000 Greenley RdSonora, CA 95370-5200
Phone(209) 962-7121
Fax(209) 533-7696
Organization SubpartYes
Authorized OfficialGregory D. MccullochPresident · (209) 536-5019
Enumeration DateOctober 31, 2005
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1356332274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
18661 HIGHWAY 120, Groveland, CA 95321
Open in Google Maps ↗

Other Names 1

Doing Business AsGroveland Family Medical Center

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 05D0680564

Sonora Community Hospital Dba Groveland Family Medical Ctr · Groveland, CA
Active · expires Oct 9, 2026
CLIA Number05D0680564
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorJames Boozer
Laboratory Phone(209) 536-5079
Laboratory LocationSonora Community Hospital Dba Groveland Family Medical Ctr18661 Hwy 120, Groveland, CA 95321
CLIA data matches this NPI record on: Address 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 1356332274. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Groveland Family Medical Center.

Where is Sonora Community Hospital located?

Sonora Community Hospital is located at 18661 Highway 120, Groveland, CA 95321. The listed phone number is (209) 962-7121.

What is Sonora Community Hospital's specialty?

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

Does Sonora Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0680564) is associated with this NPI, valid through October 9, 2026. 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 Community Hospital was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.