M A C T HEALTH BOARD INCORPORATED
NPI 1467444364
Clinic/Center - Federally Qualified Health Center (FQHC) in Sonora, CA

Active since August 17, 2005
905 MORNING STAR DR, SONORA, CA 95370(209) 533-9600(209) 533-9608 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, Jun 12, 2025, Feb 21, 2025 and 3 more (6 updates tracked since 2018).

About M A C T Health Board Incorporated NPPES

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

M A C T HEALTH BOARD INCORPORATED (NPI 1467444364), doing business as Mact Medical Sonora, is a healthcare organization registered as a federally qualified health center (fqhc) in Sonora, California and active in the NPI registry since August 2005. The organization lists John Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467444364
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address905 MORNING STAR DRSonora, CA 95370-9249
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 754-6262 · Fax (209) 754-6274
Fax(209) 533-9608
Organization SubpartYes
Authorized OfficialJohn AlexanderExecutive Director · (209) 754-6262
Enumeration DateAugust 17, 2005
Last NPPES UpdateJune 24, 20256 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1467444364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 030000704 (CA)
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
905 MORNING STAR DR, Sonora, CA 95370

Other Names 1

Doing Business AsMact Medical Sonora

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

M A C T Health Board Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

41

Medicare enrollment records show 41 clinicians reassign Medicare billing to M A C T Health Board Incorporated, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner10
Dentist9
Chiropractic5
General Practice5
Optometry4
Clinical Social Worker3
Clinical Psychologist1
Obstetrics/Gynecology1
3 other specialties3

Nearest to this location (20)

See all 41
Optometry
NPI 1417618117
940 SYLVA LN STE H
Sonora, CA 95370
(209) 532-4123
✔ PECOS0.3 mi
Obstetrics/Gynecology
NPI 1649594417
940 SYLVA LN STE A
Sonora, CA 95370
(209) 754-6262
✔ PECOS0.3 mi
Optometry
NPI 1295890911
940 SYLVA LN STE H
Sonora, CA 95370
(209) 532-4123
✔ PECOS0.3 mi
Dentist
NPI 1104425313
MACT DENTAL, SONORA 13975 MONO WAY SUITE I
Sonora, CA 95370
(209) 533-9603
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1003103458
13975 MONO WAY STE J
Sonora, CA 95370
(209) 588-4640
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1649679390
13975 MONO WAY STE G
Sonora, CA 95370
(209) 754-6262
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1104821032
13975 MONO WAY SUITE G
Sonora, CA 95370
(209) 533-9600
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1184388332
13975 MONO WAY STE G
Sonora, CA 95370
(209) 533-9600
✔ PECOS1.7 mi
General Practice
NPI 1295739845
13975 MONO WAY STE G
Sonora, CA 95370
(209) 533-9600
✔ PECOS1.7 mi
Dentist
NPI 1104864818
13975 MONO WAY STE I
Sonora, CA 95370
(209) 533-9603
✔ PECOS1.7 mi
Psychiatry
NPI 1306931522
13975 MONO WAY
Sonora, CA 95370
(209) 533-9606
✔ PECOS1.7 mi
General Practice
NPI 1952363178
13975 MONO WAY STE G
Sonora, CA 95370
(209) 533-9600
✔ PECOS1.7 mi
Nurse Practitioner
NPI 1386153625
18144 SECO ST
Jamestown, CA 95327
(209) 984-4820
✔ PECOS3.6 mi
Dentist
NPI 1366613218
1113A HIGHWAY 49
San Andreas, CA 95249
(209) 755-1460
✔ PECOS21 mi
Nurse Practitioner
NPI 1689456311
1113 HIGHWAY 49
San Andreas, CA 95249
(209) 755-1400
✔ PECOS21 mi
Dentist
NPI 1588709547
52 S MAIN ST STE B
Angels Camp, CA 95222
(209) 674-6181
✔ PECOS22 mi
Optometry
NPI 1891360111
1113 HIGHWAY 49
San Andreas, CA 95249
(209) 755-1480
✔ PECOS24 mi
Chiropractic
NPI 1841899069
1906 VISTA DEL LAGO DR STE K
Valley Springs, CA 95252
(209) 755-1470
28 mi
Nurse Practitioner
NPI 1821335688
14750 MARILYN LN
Pioneer, CA 95666
(209) 257-2400
✔ PECOS33 mi
Podiatry
NPI 1871026179
12150 NEW YORK RANCH RD
Jackson, CA 95642
(209) 257-2400
✔ PECOS34 mi
See all 41 clinicians

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 M A C T Health Board Incorporated's NPI number?

The NPI number for M A C T Health Board Incorporated is 1467444364. It was assigned to this organization in the NPPES registry on August 17, 2005. The provider is doing business as MACT Medical Sonora.

Where is M A C T Health Board Incorporated located?

M A C T Health Board Incorporated is located at 905 Morning Star Dr, Sonora, CA 95370. The listed phone number is (209) 533-9600.

What is M A C T Health Board Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is M A C T Health Board Incorporated enrolled in Medicare?

Yes. M A C T Health Board Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through M A C T Health Board Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 11 Medicare specialties reassign their Medicare billing to M A C T Health Board Incorporated. 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 (10), Dentist (9) and Chiropractic (5). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for M A C T Health Board Incorporated was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.