OrganizationActive
Sonora Community Hospital
NPI 1063403129 · General Practice Physician · Sonora, CA
Provider details
- NPI number
- 1063403129
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Sonora Community Hospital
- Organization subpart
- Yes
- Authorized official
- Andrew Jahn, Vice President for Finance(209) 536-5011
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Pauline Ct
Sonora, CA 95370-5210
Phone: (209) 532-5154
Fax: (209) 533-7696
Approximate (ZIP-level) locationGet directions
Mailing address
14542 Lolly Ln
Sonora, CA 95370-9226
Other names (DBA / former)
- Doing business as
- Foothill Primary Care
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2013-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.