| Hickory California PC | |
|
19929 Greenley Rd Sonora CA 95370-5996 | |
| (814) 499-3009 | |
| Not Available |
| Full Name | Hickory California PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 19929 Greenley Rd, Sonora, California |
| Authorized Official Name and Position | Daniel Olivero (OWNER) |
| Authorized Official Contact | 8144993009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory California PC 15 America Ave Unit 103 Lakewood NJ 08701-4583 Ph: (814) 499-3009 | Hickory California PC 19929 Greenley Rd Sonora CA 95370-5996 Ph: (814) 499-3009 |
| NPI Number | 1194608869 |
|---|---|
| Provider Enumeration Date | 07/29/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 5092219907 |
|---|---|
| Medicare Enrollment ID | O20250915003939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194608869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Christine Y Kuo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629069760 PECOS PAC ID: 7911094800 Enrollment ID: I20071024000302 |
| Provider Name | Michael W Ratliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457008211 PECOS PAC ID: 1355718230 Enrollment ID: I20221207002725 |
| Provider Name | Frank Efrem Primus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366734618 PECOS PAC ID: 7214224047 Enrollment ID: I20240814002379 |
| Provider Name | Daniel Olivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902144512 PECOS PAC ID: 0446567796 Enrollment ID: I20250915003986 |
M a C T Health Board, Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Sylva Ln Ste A, Sonora, CA 95370 Phone: 209-588-4664 Fax: 209-674-6218 |
Greenley Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 209-536-2665 Fax: 209-533-7696 |
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: 669-900-5721 Fax: 209-288-2461 |