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DOUGLAS W ANKROM, MD, INC
NPI 1477761914
Specialist in Sonora, CA

Active since May 18, 2007CLIA 05D1059296 · Waiver
680 GUZZI LN STE 205, SONORA, CA 95370(209) 533-3321(209) 533-3118 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas W Ankrom, Md, Inc NPPES

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

DOUGLAS W ANKROM, MD, INC (NPI 1477761914) is a healthcare organization registered as a specialist in Sonora, California and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Douglas Warren Ankrom, President, as its authorized official.

NPPES Registry Identity

NPI1477761914
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDOUGLAS W ANKROM, MD, INC
Location Address680 GUZZI LN STE 205Sonora, CA 95370-5288
Mailing Address680 Guzzi Ln Ste 205Sonora, CA 95370-5288 · (209) 533-3321 · Fax (209) 533-3118
Phone(209) 533-3321
Fax(209) 533-3118
Organization SubpartNo
Authorized OfficialDouglas Warren AnkromPresident · (209) 533-3321
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1477761914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A52517
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
680 GUZZI LN STE 205, Sonora, CA 95370
Open in Google Maps ↗

Other Identifiers 1

Medicare PINZZZ02112ZCA

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 05D1059296

Douglas W Ankrom, MD · Sonora, CA
Active · expires Sep 25, 2026
CLIA Number05D1059296
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorDouglas W. Ankrom
Laboratory Phone(209) 533-3321
Laboratory LocationDouglas W Ankrom, MD680 Guzzi Lane, Ste 205, 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.

DOUGLAS ANKROM M.D.
Urology
680 GUZZI LN STE 205
SONORA, CA 95370
Tuolumne County (209) 533-3321

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 Douglas W Ankrom, MD, Inc's NPI number?

The NPI number for Douglas W Ankrom, MD, Inc is 1477761914. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Douglas W Ankrom, MD, Inc located?

Douglas W Ankrom, MD, Inc is located at 680 Guzzi Ln Ste 205, Sonora, CA 95370. The listed phone number is (209) 533-3321.

What is Douglas W Ankrom, MD, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Douglas W Ankrom, MD, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1059296) is associated with this NPI, valid through September 25, 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 Douglas W Ankrom, MD, Inc was last updated on January 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.