ANGELS CAMP FAMILY MEDICAL CENTER
NPI 1821089749
Family Medicine in Angels Camp, CA
About Angels Camp Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELS CAMP FAMILY MEDICAL CENTER (NPI 1821089749) is a healthcare organization registered as a family medicine in Angels Camp, California and active in the NPI registry since October 2005. The organization lists Andrew D. Jahn, Vice President For Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angels Camp Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Angels Camp Family Medical Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 Sonora Community Hospital's NPI number?
The NPI number for Sonora Community Hospital is 1821089749. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Angels Camp Family Medical Center.
Where is Sonora Community Hospital located?
Sonora Community Hospital is located at 445 South Main St, Angels Camp, CA 95222. The listed phone number is (209) 736-0249.
What is Sonora Community Hospital's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sonora Community Hospital enrolled in Medicare?
Yes. Sonora Community Hospital is registered in the Medicare PECOS enrollment system.
When is Sonora Community Hospital's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Sonora Community Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Sonora Community Hospital, in Cardiovascular Disease (Cardiology), 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Sonora Community Hospital was last updated on March 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Angels Camp Family Medical Center · NPI 1821089749
Family Medicine organization in Angels Camp, California. Organization record, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1821089749 (Entity type: Organization)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Sonora Community Hospital
- **Organization subpart:** Yes (part of Sonora Community Hospital)
- **Authorized official:** Andrew Jahn, VICE PRESIDENT FOR FINANCE
## Practice location
- **Address:** 445 SOUTH MAIN ST, Angels Camp, CA 95222
- **Phone:** (209) 736-0249 · **Fax:** (209) 533-7696
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2013
- **Other identifiers:** Other ZZZ52950Z (CA); Medicare PIN CU0092 (CA); Medicare OSCAR/certification 050335 (CA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821089749) · Data from the CMS NPPES public registry.