Organization · Type 2 NPI

Sonora Community Hospital

Cardiovascular Disease Physician · Sonora, CA

NPI number 1003807066 Active

Practice location

900 Greenley Rd, Suite 911
Sonora, CA 95370-5287

Call (209) 532-0511 Map

Fax (209) 533-7696

Mailing address

1000 Greenley Rd
Sonora, CA 95370-5200

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

16 other providers at this address

NPI record

NPI: 1003807066
Entity type: Organization (Type 2)
Issued: Oct 31, 2005
Last updated: Nov 26, 2025
Status: Active
Subpart: Yes of Sonora Community Hospital

Other names

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Sierra Cardiology Department · doing business as

Authorized official

Gregory D. McCulloch
President
(209) 536-5019

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003807066

Sonora Community Hospital's National Provider Identifier is 1003807066, issued on Oct 31, 2005. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Sonora, CA. The record was last updated on Nov 26, 2025.