Greenley Primary Care - Medicare Primary Care in Sonora, CA

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Greenley Primary Care is a medicare enrolled primary clinic (Family Medicine) in Sonora, California. The current practice location for Greenley Primary Care is 19747 Greenley Rd, Suite S-2, Sonora, California. For appointments, you can reach them via phone at (209) 536-2665. The mailing address for Greenley Primary Care is 14542 Lolly Ln, Sonora, California and phone number is (209) 536-3900.

Greenley Primary Care is licensed to practice in California (license number 030000094). The clinic also participates in the medicare program and its NPI number is 1033100854. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (209) 536-2665.

Contact Information

Greenley Primary Care
19747 Greenley Rd
Suite S-2
Sonora
CA 95370-5998
(209) 536-2665
(209) 533-7696

Map and Direction


Primary Care Clinic Profile

Full NameGreenley Primary Care
SpecialityFamily Medicine
Location19747 Greenley Rd, Sonora, California
Authorized Official Name and PositionAndrew D. Jahn (CEO)
Authorized Official Contact2095365011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Greenley Primary Care
14542 Lolly Ln
Sonora
CA 95370-9226

Ph: (209) 536-3900		Greenley Primary Care
19747 Greenley Rd
Suite S-2
Sonora
CA 95370-5998

Ph: (209) 536-2665

NPI Details:

NPI Number1033100854
Provider Enumeration Date11/01/2005
Last Update Date09/28/2016

Medicare PECOS Information:

Medicare PECOS PAC ID4284538505
Medicare Enrollment IDO20040316000829

Medical Identifiers

Medical identifiers for Greenley Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033100854NPI-NPPES
ZZZ52953ZOtherCABLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 030000094 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Greenley Primary Care acts as a billing entity for following providers:
Provider NameFelix Anthony Conte
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1285712760
PECOS PAC ID: 7719872365
Enrollment ID: I20040220000965
Provider NameDonald K Westbie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912984436
PECOS PAC ID: 7416940135
Enrollment ID: I20040407000516
Provider NameSarah Margaret Grimes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922037563
PECOS PAC ID: 2264418706
Enrollment ID: I20040625000895
Provider NameMark P Miller
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1073575353
PECOS PAC ID: 7214916295
Enrollment ID: I20040715001396
Provider NameDevanie S Teel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861584823
PECOS PAC ID: 5092785949
Enrollment ID: I20040728000693
Provider NameChristopher J Krpan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1811059918
PECOS PAC ID: 1951374396
Enrollment ID: I20040823001068
Provider NameStephen J Hopkins
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1265498539
PECOS PAC ID: 5294797569
Enrollment ID: I20041028001148
Provider NameLiliana Gelvez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205972957
PECOS PAC ID: 6204892318
Enrollment ID: I20041209000394
Provider NameJames L Reese
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1538173059
PECOS PAC ID: 9436116357
Enrollment ID: I20041213000646
Provider NameJulia A Gustafson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174509103
PECOS PAC ID: 1254388804
Enrollment ID: I20050405001299
Provider NameDeborah Leanne Kagay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700098597
PECOS PAC ID: 5395786495
Enrollment ID: I20050519000114
Provider NameJennifer L Neufeld Trujillo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861482671
PECOS PAC ID: 0244266641
Enrollment ID: I20050715000831
Provider NameClaudia D Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780734632
PECOS PAC ID: 1052325875
Enrollment ID: I20060201000275
Provider NameSean Anderson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144287061
PECOS PAC ID: 0547263295
Enrollment ID: I20060817000564
Provider NameGilbert Simoni
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1316922958
PECOS PAC ID: 7315970787
Enrollment ID: I20061120000297
Provider NameKenneth M Royle
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891873378
PECOS PAC ID: 6406845395
Enrollment ID: I20070626000799
Provider NamePeter E Bippart
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700844248
PECOS PAC ID: 6709850860
Enrollment ID: I20080124000385
Provider NameMatthew L Personius
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528022712
PECOS PAC ID: 9931195328
Enrollment ID: I20080425000402
Provider NameAyman A Hosny
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1265414155
PECOS PAC ID: 3870675671
Enrollment ID: I20080521000408
Provider NameRalph Retherford
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801043799
PECOS PAC ID: 5496820862
Enrollment ID: I20080819000856
Provider NameKishore K Kalluri
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1073517751
PECOS PAC ID: 3476574732
Enrollment ID: I20081216000355
Provider NameSteven E Shield
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619954237
PECOS PAC ID: 1153484837
Enrollment ID: I20090106000675
Provider NameAlberto A Bolanos
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1467548008
PECOS PAC ID: 6406919745
Enrollment ID: I20090113000075
Provider NameCharles G Cox
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1760467443
PECOS PAC ID: 5092888685
Enrollment ID: I20090303000447
Provider NameTanja S Frey
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124178884
PECOS PAC ID: 9638236540
Enrollment ID: I20090320000200
Provider NameMatthew T Maynard
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861617417
PECOS PAC ID: 0941391056
Enrollment ID: I20091211000329
Provider NameRenee H Kramer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558584466
PECOS PAC ID: 9032393301
Enrollment ID: I20110411000675
Provider NameSundararajan Srikanth
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1104934082
PECOS PAC ID: 0042497414
Enrollment ID: I20110613000239
Provider NameJacey Jean Rodriguez-serva
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215255062
PECOS PAC ID: 6608046149
Enrollment ID: I20110819000230
Provider NameSapoora Manshaii
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1922041185
PECOS PAC ID: 4587564174
Enrollment ID: I20111221000399
Provider NameRandolph B Roxas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174560072
PECOS PAC ID: 9234305145
Enrollment ID: I20111227000322
Provider NameWais Tarrar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801047998
PECOS PAC ID: 2264619709
Enrollment ID: I20120604000080
Provider NameAirell L Nygaard
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1417920760
PECOS PAC ID: 3870499304
Enrollment ID: I20120703000593
Provider NameJohn P Nelligan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1952491151
PECOS PAC ID: 1759310279
Enrollment ID: I20120827000636
Provider NameTheodore N Powers
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1740417187
PECOS PAC ID: 5597914523
Enrollment ID: I20121005000385
Provider NameSekhar Ujwala U Eadula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427313345
PECOS PAC ID: 7719131416
Enrollment ID: I20130205000341
Provider NameSuzanne E Spillner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316211576
PECOS PAC ID: 8325286131
Enrollment ID: I20130605000586
Provider NameMichael Salvatore Nuzzo
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265583587
PECOS PAC ID: 4284792193
Enrollment ID: I20130622000119
Provider NameKelley W George
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1396721171
PECOS PAC ID: 8325288517
Enrollment ID: I20130711000635
Provider NameAnahita Rezaie
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1821294000
PECOS PAC ID: 7517051782
Enrollment ID: I20130719000425
Provider NameRhunjay J Yu
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1255527024
PECOS PAC ID: 7719113745
Enrollment ID: I20131122000781
Provider NameMathea J Salas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184781932
PECOS PAC ID: 7810953759
Enrollment ID: I20140821000801
Provider NameChristopher L Jones
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649594417
PECOS PAC ID: 8123249703
Enrollment ID: I20141023001998
Provider NameKrysta L Wolken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073914347
PECOS PAC ID: 1153644133
Enrollment ID: I20141223001945
Provider NameJanet J Briggs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225323165
PECOS PAC ID: 2062735871
Enrollment ID: I20150101000017
Provider NameLoretta M Obrien
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750379657
PECOS PAC ID: 5092965798
Enrollment ID: I20150529002321
Provider NameChrystal A L Bradley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1366886392
PECOS PAC ID: 2961718176
Enrollment ID: I20150902003131
Provider NameNathaniel Methot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225422140
PECOS PAC ID: 6103121983
Enrollment ID: I20160217000772
Provider NameDaniel Su
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1235442534
PECOS PAC ID: 1052548013
Enrollment ID: I20161219002099
Provider NameGuiqing Huang
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710364856
PECOS PAC ID: 3971884040
Enrollment ID: I20170103001761
Provider NameCynthia N Carbin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376609008
PECOS PAC ID: 8527159110
Enrollment ID: I20170327002433
Provider NameAnna Khananian
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1982137287
PECOS PAC ID: 6800167388
Enrollment ID: I20170801003139
Provider NameNeal K Kaushal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447542238
PECOS PAC ID: 0547534679
Enrollment ID: I20170927003861
Provider NameMichael Richard Portillo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306235957
PECOS PAC ID: 4981961265
Enrollment ID: I20171121001297
Provider NameMegan Mary Greenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740623420
PECOS PAC ID: 6800167990
Enrollment ID: I20171130000816
Provider NameCarlos Alvarez
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1982679239
PECOS PAC ID: 5193799161
Enrollment ID: I20180808002455
Provider NameErica M Vega
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1316367469
PECOS PAC ID: 1153672126
Enrollment ID: I20181002000757
Provider NameJacob L Wester
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1447693973
PECOS PAC ID: 2062764962
Enrollment ID: I20181003003042
Provider NameCicely Chen
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043625916
PECOS PAC ID: 3375897077
Enrollment ID: I20181115002381
Provider NameRobert B Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437145380
PECOS PAC ID: 4688827868
Enrollment ID: I20181128000693
Provider NameSheila K Ponzio
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992742381
PECOS PAC ID: 7719145473
Enrollment ID: I20190227001774
Provider NameDavid F Bohannon
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881072643
PECOS PAC ID: 7012248693
Enrollment ID: I20191011002334
Provider NameAnne L Palumbo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396731709
PECOS PAC ID: 3870536600
Enrollment ID: I20191219002052
Provider NameJocelyn Moll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285090902
PECOS PAC ID: 8729382742
Enrollment ID: I20200108000289
Provider NameWilliam G Stone
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1255505764
PECOS PAC ID: 5395992960
Enrollment ID: I20200420000194
Provider NameSanya M Wadhwa
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1003234501
PECOS PAC ID: 5092088369
Enrollment ID: I20200630002375
Provider NameYewande Adeshina
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346334596
PECOS PAC ID: 4880696582
Enrollment ID: I20200805001425
Provider NameAlexa L Calfee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1508108978
PECOS PAC ID: 4284052887
Enrollment ID: I20200914002779
Provider NameMatthew Narron
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1881831659
PECOS PAC ID: 6507271921
Enrollment ID: I20210217002042
Provider NameHannah Cho Hyuna Row
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1427258243
PECOS PAC ID: 9931241783
Enrollment ID: I20210225002765
Provider NameBethany J Bick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922504703
PECOS PAC ID: 5395090443
Enrollment ID: I20210525000922
Provider NameAriana Abid
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1285154807
PECOS PAC ID: 9931468584
Enrollment ID: I20210929001508
Provider NameAlexander C Heard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316916471
PECOS PAC ID: 1658641261
Enrollment ID: I20211027002553
Provider NameDavid Row
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1871797118
PECOS PAC ID: 9537212378
Enrollment ID: I20220224002207
Provider NameNorberto A Rodriguez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1396706107
PECOS PAC ID: 9739224213
Enrollment ID: I20220311000646
Provider NameManan A Jhaveri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306285739
PECOS PAC ID: 0941590152
Enrollment ID: I20220404002528
Provider NameTamara Huff
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932336997
PECOS PAC ID: 9739309543
Enrollment ID: I20230424001968
Provider NameJulia M Dean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932812138
PECOS PAC ID: 4880052463
Enrollment ID: I20230614003086
Provider NameArnaldo Vivanco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376034009
PECOS PAC ID: 2365804440
Enrollment ID: I20230822002012
Provider NameLindsay M Burton
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679008650
PECOS PAC ID: 0648666065
Enrollment ID: I20230831002676
Provider NameSeneca Ann Storm
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1285731588
PECOS PAC ID: 2961430160
Enrollment ID: I20230913002098
Provider NameMohammad N Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295778215
PECOS PAC ID: 3476538760
Enrollment ID: I20230925001562
Provider NamePaula Sharon Newman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1174734610
PECOS PAC ID: 7719045087
Enrollment ID: I20231018003222
Provider NameJohn Golden
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780744268
PECOS PAC ID: 2567512973
Enrollment ID: I20240131000078
Provider NameKristin B Toney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952853624
PECOS PAC ID: 4789964784
Enrollment ID: I20240229003242

Reviews and Comments


Family Medicine in Sonora, CA

Sonora Primary Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370
Phone: 209-532-3370    Fax: 209-532-3340
Foothill Primary Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 650 Pauline Ct, Sonora, CA 95370
Phone: 209-532-5154    Fax: 209-533-7696
Kathy Bosch Chiropractic, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370
Phone: 209-533-4330    Fax: 509-532-5374
Sierra Elder Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 109 E Jackson St, Sonora, CA 95370
Phone: 209-454-7861    Fax: 209-288-2461
William E. Zachow, D.o. Medical Corporation
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370
Phone: 602-790-4221    
Sierra Gastroenterology Consultants
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 940 Sylva Ln, Bldg. B, Sonora, CA 95370
Phone: 209-532-7281    Fax: 209-532-7381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.