| Sierra Elder Care | |
|
109 E Jackson St Sonora CA 95370-5763 | |
| (209) 454-7861 | |
| (209) 288-2461 |
| Full Name | Sierra Elder Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 109 E Jackson St, Sonora, California |
| Authorized Official Name and Position | Daniel Meador (OWNER) |
| Authorized Official Contact | 2094547861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Elder Care 109 E Jackson St Sonora CA 95370-5763 Ph: (209) 630-0911 | Sierra Elder Care 109 E Jackson St Sonora CA 95370-5763 Ph: (209) 454-7861 |
| NPI Number | 1063941045 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 5395018717 |
|---|---|
| Medicare Enrollment ID | O20170907000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063941045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel C Meador |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619925989 PECOS PAC ID: 0648374850 Enrollment ID: I20070328000282 |
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