Active NPI 1750450540 Individual Practitioner Male Practitioner

Dr. Gideon Pieter Naude , MD

Surgery • Sonora, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gideon Naude, MD is a certified Surgery practicing in Sonora, CA. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Naude delivers high-quality medical care to the local community at 137 SOUTH SHEPHERD STREET.

Dr. Naude accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

137 South Shepherd Street

Sonora, CA 95370

Telephone 2095888777

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Sonora, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +20.6 yrs vs City Avg

City Avg: 33.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Sonora, CA (3346 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Naude (54 Years) 54 Yrs

Sonora Specialty Average (33.4 Years) 33.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	8,465	490	$16.00	$6.71
17000 Destruction of skin growth	923	493	$119.00	$66.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	677	393	$168.98	$123.98
99213 Established patient office or other outpatient visit, typically 15 minutes	250	125	$114.00	$88.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$258.00	$160.12
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	65	58	$371.00	$242.55
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	32	$259.00	$87.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$387.00	$120.75
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$404.00	$279.92
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$233.00	$112.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	8,377	572	$16.00	$7.09
17000 Destruction of skin growth	1,087	573	$119.00	$69.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	668	439	$169.00	$130.00
99213 Established patient office or other outpatient visit, typically 15 minutes	480	222	$114.00	$92.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	175	175	$169.00	$113.62
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	98	89	$371.00	$253.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	42	$259.00	$91.84
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	36	33	$404.00	$285.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$387.00	$127.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$258.00	$169.73
11104 Punch biopsy, first skin growth	18	17	$240.00	$132.73
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	17	17	$233.00	$125.13
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	13	$440.00	$242.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	15	$473.00	$244.41
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	14	13	$264.00	$123.53
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$423.00	$151.14
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$294.00	$100.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,989	397	$16.00	$7.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	807	472	$169.44	$131.98
17000 Destruction of skin growth	595	403	$119.00	$70.43
17004 Destruction of precancer skin growth, 15 or more growths	472	327	$234.00	$178.51
99213 Established patient office or other outpatient visit, typically 15 minutes	394	205	$114.51	$93.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	214	214	$258.00	$170.61
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	78	72	$371.00	$263.85
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	42	$259.00	$93.11
45380 Biopsy of large bowel using an endoscope	41	41	$425.00	$193.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$169.00	$114.84
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	30	28	$404.00	$302.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	16	$69.00	$58.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$387.00	$135.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$112.00	$72.17
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$423.00	$149.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	14	$473.00	$257.50
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$331.00	$186.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$440.00	$240.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,821	215	$16.00	$6.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	752	431	$169.00	$134.76
17004 Destruction of precancer skin growth, 15 or more growths	713	413	$234.00	$176.07
99213 Established patient office or other outpatient visit, typically 15 minutes	408	205	$114.49	$95.12
17000 Destruction of skin growth	303	221	$119.00	$69.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	240	240	$258.00	$172.49
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	81	76	$371.41	$244.35
45380 Biopsy of large bowel using an endoscope	54	54	$425.00	$205.81
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	44	$259.00	$93.87
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	44	41	$404.00	$299.93
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$423.00	$143.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	18	$387.00	$137.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$440.00	$260.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$264.00	$101.54
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$274.00	$109.04
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$473.00	$270.33
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	12	$233.00	$107.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$331.00	$189.65
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	13	13	$378.00	$272.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.00	$116.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,146	144	$16.00	$6.47
17004 Destruction of precancer skin growth, 15 or more growths	609	350	$234.00	$168.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	365	$169.15	$113.17
99213 Established patient office or other outpatient visit, typically 15 minutes	430	199	$114.00	$78.15
17000 Destruction of skin growth	189	146	$119.00	$67.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$258.00	$170.23
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	74	66	$371.00	$240.71
45380 Biopsy of large bowel using an endoscope	52	52	$425.00	$172.21
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	44	39	$259.00	$92.21
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	35	32	$404.00	$272.22
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	18	$387.00	$130.93
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	21	20	$378.00	$185.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$264.00	$113.02
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	15	$440.00	$247.17
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$423.00	$143.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$473.00	$271.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$169.00	$112.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$400.00	$245.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$469.00	$265.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	848	115	$16.00	$5.84
17004 Destruction of precancer skin growth, 15 or more growths	667	381	$234.00	$157.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	613	398	$169.29	$111.26
99213 Established patient office or other outpatient visit, typically 15 minutes	480	219	$114.00	$76.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$258.00	$168.11
17000 Destruction of skin growth	142	116	$119.00	$66.98
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	106	95	$371.00	$196.80
45380 Biopsy of large bowel using an endoscope	75	75	$423.75	$173.09
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	60	54	$259.00	$96.36
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	57	50	$404.00	$201.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	24	$112.00	$73.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	46	30	$387.00	$196.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$212.00	$138.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	32	$264.00	$104.05
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	22	$423.00	$271.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$473.00	$281.75
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	18	$294.00	$103.48
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	19	17	$378.00	$161.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$169.00	$111.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	15	$435.94	$233.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$331.00	$190.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$469.00	$264.05
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	13	13	$233.00	$97.20
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	11	$274.00	$108.20
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$298.00	$100.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	830	123	$16.00	$5.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	337	$169.54	$104.49
17004 Destruction of precancer skin growth, 15 or more growths	418	303	$234.00	$141.94
99213 Established patient office or other outpatient visit, typically 15 minutes	242	167	$114.00	$70.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	202	202	$258.00	$157.64
17000 Destruction of skin growth	153	128	$119.00	$62.19
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	133	118	$371.00	$188.75
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	78	65	$259.00	$83.17
45380 Biopsy of large bowel using an endoscope	77	77	$573.09	$191.66
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	70	62	$404.00	$199.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	22	$112.00	$69.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	33	26	$387.00	$192.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$169.00	$104.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	26	$473.00	$255.60
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	26	$294.00	$95.85
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	27	27	$233.00	$79.29
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	22	$440.00	$217.12
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	24	22	$264.00	$96.66
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	24	22	$423.00	$249.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	21	$264.00	$95.86
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	19	18	$378.00	$135.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	15	$272.00	$168.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$212.00	$130.94
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	12	$499.00	$312.36
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$246.00	$90.22
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$469.00	$249.69
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$332.73	$180.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	406	288	$169.00	$106.61
17004 Destruction of precancer skin growth, 15 or more growths	329	252	$234.00	$151.54
17003 Destruction of precancer skin growth, 2-14 growths	290	52	$16.00	$5.66
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	146	130	$371.00	$186.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$169.00	$106.70
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	105	84	$259.00	$85.73
99213 Established patient office or other outpatient visit, typically 15 minutes	95	76	$114.58	$72.83
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	94	78	$404.00	$214.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$258.00	$162.20
45380 Biopsy of large bowel using an endoscope	78	77	$396.00	$192.31
17000 Destruction of skin growth	58	56	$119.00	$65.53
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	50	42	$294.00	$92.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	23	$112.00	$70.97
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	34	32	$378.00	$140.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	32	25	$387.00	$168.11
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	31	28	$233.00	$77.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$212.00	$134.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	29	$264.00	$102.69
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	30	25	$264.00	$92.71
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	29	23	$423.00	$258.19
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	23	$274.00	$91.46
11421 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	21	$246.00	$82.82
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	20	15	$473.00	$244.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$440.00	$223.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$469.00	$256.57

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A53424

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License CA 53424

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5059135 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2016

Registered at 137 SOUTH SHEPHERD STREET, SONORA, CA 95370 (Tel: 2095888777)

📍

Updated Business Mailing Address May 06, 2016

Registered at PO BOX 3833, 137 SOUTH SHEPHERD STREET, SONORA, CA 95370 (Tel: 2095888777)

👤

Provider Name / Credentials Updated May 06, 2016

Recorded as GIDEON NAUDE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2016

Dermatology (License #53424 in CA)

🟢

Initial NPI Registration & Enumeration November 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750450540

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 07, 2006

Last Update: May 06, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3833, 137 South Shepherd Street

Sonora, CA 95370

Phone: 2095888777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.