M A C T HEALTH BOARD INCORPORATED
NPI 1871237040
Clinic/Center in Sonora, CA

Active since April 25, 2022
940 SYLVA LN STE B, SONORA, CA 95370(209) 588-4660(209) 398-8760 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2025, Jul 26, 2022, Apr 25, 2022 (3 updates tracked since 2022).

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 1871237040), doing business as Mact Sonora Pediatric Health Center, is a healthcare organization registered as a clinic/center in Sonora, California and active in the NPI registry since April 2022. The organization lists John Shawver Alexander, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1871237040
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameM A C T HEALTH BOARD INCORPORATED
Location Address940 SYLVA LN STE BSonora, CA 95370-5969
Mailing AddressPo Box 939Angels Camp, CA 95222-0939 · (209) 588-4660 · Fax (209) 398-8760
Fax(209) 398-8760
Organization SubpartNo
Authorized OfficialJohn Shawver AlexanderExecutive Director · (209) 754-6258
Enumeration DateApril 25, 2022
Last NPPES UpdateJune 12, 20253 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1871237040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
940 SYLVA LN STE B, Sonora, CA 95370

Other Names 1

Doing Business AsMact Sonora Pediatric Health Center

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

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Mact Optometry Sonora carries, from the Medicare DMEPOS supplier directory.

Mact Optometry Sonora

DMEPOS supplier · Sonora, CAOperated by M A C T Health Board Incorporated

Does not accept Medicare assignment

Mact Optometry Sonora has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)34358198
Medicare Participant SinceJanuary 16, 2006
Supplier Location940 Sylva Ln Ste HSonora, CA 95370
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
940 SYLVA LN STE B
SONORA, CA 95370
Nurse Practitioner (Women's Health)
940 SYLVA LN STE B
SONORA, CA 95370

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 1871237040. It was assigned to this organization in the NPPES registry on April 25, 2022. The provider is doing business as MACT Sonora Pediatric Health Center.

Where is M A C T Health Board Incorporated located?

M A C T Health Board Incorporated is located at 940 Sylva Ln Ste B, Sonora, CA 95370. The listed phone number is (209) 588-4660.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does M A C T Health Board Incorporated accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Mact Optometry Sonora does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for M A C T Health Board Incorporated was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.