SONORA MEDICAL GROUP (NPI# 1558533174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558533174 |
| Entity Type | Organization |
| Organization Name | SONORA MEDICAL GROUP |
| Practice Address |
10841 White Oak Ave Suite 201 Rancho Cucamonga CA 91730-3811 |
| Mailing Address |
3607 Old Conejo Rd Thousand Oaks CA 91320-2123 |
| Practice Telephone | 9095817274 |
| Mailing Telephone | 8053750800 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | ALBERT SIMPKINS II (PHYSICIAN) |
| Authorized Official Telephone | 9095817274 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | FS0117386 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083886246 | Sonora Medical Group | Non-Pharmacy Dispensing Site | 10600 Magnolia Ave, Suite 1, Riverside, CA 92505-1819 | 2008-03-27 |
| Street Address |
10841 WHITE OAK AVE SUITE 201 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913058 | Kevin O Lawrence | Physical Medicine & Rehabilitation | 10841 White Oak Ave, Suite 201, Rancho Cucamonga, CA 91730-3811 | 2005-12-22 |
| 1760980718 | Payam Javaherizadeh | Pharmacist | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3817 | 2018-01-24 |
| 1134674468 | Blessing Anesthesia Medical Group Inc | Anesthesiology | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3817 | 2016-08-16 |
| 1942590351 | Inland Empire Extra Care | Preferred Provider Organization | 10841 White Oak Ave, Suite 107, Rancho Cucamonga, CA 91730-3811 | 2011-04-19 |
| 1487959581 | Knd Development 59 LLC | Hospitalist | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3811 | 2011-01-20 |
| 1205146289 | Knd Development 55, L.L.C. | Long Term Care Hospital | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3811 | 2010-10-08 |
| 1962725119 | Andrea Marie Dowdy | Nurse Anesthetist, Certified Registered | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3817 | 2010-03-02 |
| 1659545630 | Kevin O. Lawrence Md Inc | Physical Medicine & Rehabilitation | 10841 White Oak Ave, Suite 201, Rancho Cucamonga, CA 91730-3811 | 2008-04-21 |
| 1689847725 | Kevin Metzger | Family Medicine | 10841 White Oak Ave, Rancho Cucamonga, CA 91730-3811 | 2008-04-09 |
| 1184809337 | Zaher Azzawi | Specialist | 10841 White Oak Ave, Ste # 107, Rancho Cucamonga, CA 91730-3811 | 2008-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619381530 | One Stop Multi-specialty Medical Group & Therapy, Inc. | Non-Pharmacy Dispensing Site | 10399 Lemon Ave, Suite 105, Rancho Cucamonga, CA 91737-3770 | 2014-06-18 |
| 1629193511 | John S. Cho, Md | Non-Pharmacy Dispensing Site | 9674 Archibald Ave, Rancho Cucamonga, CA 91730-7941 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.