SIERRA FAMILY MEDICAL CLINIC, INC (NPI# 1013305861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013305861 |
| Entity Type | Organization |
| Organization Name | SIERRA FAMILY MEDICAL CLINIC, INC |
| Practice Address |
15301 Tyler Foote Rd Nevada City CA 95959-9318 |
| Practice Telephone | 5302923478 |
| Practice Fax Number | 5302924296 |
| Mailing Telephone | 5302923478 |
| Mailing Fax Number | 5302924296 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |
| Authorized Official Name | STEVE WEBER (CEO) |
| Authorized Official Telephone | 5302923478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
G43114 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316169618 | Sierra Family Medical Clinic, Inc | Clinic/Center | 15301 Tyler Foote Rd, Nevada City, CA 95959 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SIERRA FAMILY MEDICAL CLINIC, INC. | 8676 Marysville Rd, Oregon House, CA 95962-9718 |
| Street Address |
15301 TYLER FOOTE RD |
| City | NEVADA CITY |
| State | CA |
| Zip Code | 95959-9318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538144258 | George Michael Scarmon | Family Medicine | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2005-12-15 |
| 1861003063 | Jennifer Ann Francis | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2020-08-11 |
| 1750857017 | Lisa Marie Greene | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2018-10-15 |
| 1255839106 | Amy Jo Nielsen | Nurse Practitioner | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2018-01-25 |
| 1851846505 | Carol Breiter | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2016-08-23 |
| 1902259690 | Sabrina Dhillon | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2016-07-18 |
| 1427432699 | Michele Fleury | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2015-07-16 |
| 1831599026 | Sierra Family Medical Clinic Inc | Non-Pharmacy Dispensing Site | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2014-08-26 |
| 1184023343 | Terry Lana Renfroe | Dental Hygienist | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2014-08-13 |
| 1518227313 | Alyse Stukin | Social Worker | 15301 Tyler Foote Rd, Nevada City, CA 95959-9318 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639495 | Bringing Medicine Culturally Competent Counseling and Indigenous | Marriage & Family Therapist | 206 Sacramento St Suite 212, Nevada, CA 95959 | 2020-11-04 |
| 1699376210 | Michele Tsihlas | Health Educator | 18411 Tyler Foote Road, Nevada City, CA 95959 | 2020-11-02 |
| 1649835380 | Jared Shawn Dubose | Counselor | 24077 Ca 49, Nevada City, CA 95959 | 2019-05-08 |
| 1447755590 | Maria Scarano | Chiropractor | 513 Searls Ave, Unit 8, Nevada City, CA 95959 | 2018-03-29 |
| 1922559020 | Megan Allen | Counselor | 985 Helling Way, Nevada City, CA 95959 | 2016-10-24 |
| 1417331885 | Karla Diane Moore Pinola | Counselor | 150 Bost Avenue, Nevada City, CA 95959 | 2015-07-16 |
| 1700212263 | Victoria Moran | Marriage & Family Therapist | 206 Sacramento St Ste 203, Nevada City, CA 95959 | 2013-09-16 |
| 1528308905 | Justin Burkett | Acupuncturist | 101 Providence Mine Rd Ste 105b, Nevada City, CA 95959 | 2013-02-22 |
| 1114276623 | Michelle Dion Young | Case Manager/Care Coordinator | 138 New Mohawk #200, Nevad City, CA 95959 | 2012-08-30 |
| 1750668497 | Rachael Courtier | Social Worker | Sierra Family Medical Clinic, 15301 Tyler Foote Road, Nevada City, CA 95959 | 2011-11-09 |
| Find all providers in zip 95959 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316169618 | Sierra Family Medical Clinic, Inc | Clinic/Center | 15301 Tyler Foote Rd, Nevada City, CA 95959 | 2007-05-03 |
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| Find all providers with the same taxonomy | ||||
| City | NEVADA CITY |
| Zip Code | 95959 |
Please comment or provide details below to improve the information on SIERRA FAMILY MEDICAL CLINIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.