Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SONORA COMMUNITY HOSPITAL
Active
Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Greenley Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
GREGORY D. MCCULLOCH (PRESIDENT)
(209) 536-5019
Entity
Organization
Contact information
Practice address
19747 GREENLEY RD, SUITE S-2, SONORA, CA 95370-5998
(209) 536-2665
(209) 533-7696
Mailing address
1000 GREENLEY RD, SONORA, CA 95370-5200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030000094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ52953Z
BLUE CROSS/BLUE SHIELD
CA
Enumeration date
11/01/2005
Last updated
11/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up