ANGELS CAMP FAMILY MEDICAL CENTER – NPI #1821089749
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ANGELS CAMP FAMILY MEDICAL CENTER is a provider located in ANGELS CAMP, CA. NPPES has assigned the NPI number 1821089749 to ANGELS CAMP FAMILY MEDICAL CENTER on October 31, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ANGELS CAMP FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is SONORA COMMUNITY HOSPITAL. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Mar 29, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELS CAMP FAMILY MEDICAL CENTER below.

NPI Profile for
SONORA COMMUNITY HOSPITAL

NPI Number
1821089749
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SONORA COMMUNITY HOSPITAL
Doing Business As (dba): ANGELS CAMP FAMILY MEDICAL CENTER
Primary location
445 SOUTH MAIN ST
ANGELS CAMP, CA 95222
Phone: (209) 736-0249 Fax: (209) 533-7696
Mailing address
14542 LOLLY LN
SONORA, CA 95370-9226
Phone: (209) 536-2760 Fax: (209) 533-7696
Organization Subpart
Yes - ANGELS CAMP FAMILY MEDICAL CENTER is subpart of another organization.
Authorized Official
ANDREW JAHN
VICE PRESIDENT FOR FINANCE
Phone: (209) 536-5011
Updated
Identifiers

Identifiers for ANGELS CAMP FAMILY MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDCAZZZ52950Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.