CLINICA SIERRA VISTA


Address: 2400 Wible Rd, Suite 14, Bakersfield, CA 93304-4700
Phone: 6618351240

CLINICA SIERRA VISTA (NPI# 1073515425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073515425
Entity Type Organization
Organization Name CLINICA SIERRA VISTA
Other Organization Name SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER
Practice Address 2400 Wible Rd
Suite 14
Bakersfield
CA 93304-4700
Mailing Address Po Box 1559
Bakersfield
CA 93302-1559
Practice Telephone 6618351240
Practice Fax Number 6618354667
Mailing Telephone 6616353050
Mailing Fax Number 6618691503
Enumeration Date 2005-08-15
Last Update Date 2020-09-10
Authorized Official Name GUADALUPE TERRONES (CONTRACT ADMINISTRATOR)
Authorized Official Telephone 6616353050
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
120000565 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD PIN ZZZ05930Z 01
CA 70954F 05
CA SOFP HAP70954F 01
CA CDP BCP70954F 01

Other Provider/Organization Names

Other Name Type Code
South Bakersfield Community Health Center Doing Business As Name - Organization
South Bakersfield Community Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740740331 Clinica Sierra Vista Clinic/Center 3451 W Shaw Ave Ste 105, Fresno, CA 93711-3242 2019-03-21
1336544790 Clinica Sierra Vista Clinic/Center 705 S Union Ave, Bakersfield, CA 93307-3635 2014-10-28
1184972374 Clinica Sierra Vista Clinic/Center 828 High St Ste A, Delano, CA 93215-2960 2012-08-21
1235486648 Clinica Sierra Vista Clinic/Center 234 Baker St Ste 1&2, Bakersfield, CA 93305-5856 2012-08-06
1033486048 Clinica Sierra Vista Clinic/Center 3645 W Shaw Ave Ste 101, Fresno, CA 93711-3206 2011-11-18
1326327693 Clinica Sierra Vista Counselor 700 Falcon Way, Lebec, CA 93243 2011-08-04
1417236787 Clinica Sierra Vista Counselor 800 Browning Rd, Delano, CA 93215-9494 2011-08-04
1144509415 Clinica Sierra Vista Counselor 1331 Cecil Ave # 6, Delano, CA 93215-1418 2011-08-04
1528347887 Clinica Sierra Vista Counselor 1927 Randolph St Rm 1, Delano, CA 93215-1526 2011-08-04
1629356522 Clinica Sierra Vista Counselor 1401 Hiett Ave, Delano, CA 93215 2011-07-26

Office Location

Street Address 2400 WIBLE RD
SUITE 14
City BAKERSFIELD
State CA
Zip Code 93304-4700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750494191 Ruth Taylor Nurse Practitioner 2400 Wible Rd, Ste 14, Bakersfield, CA 93304 2006-08-17
1194838433 Bruce Taylor Family Medicine 2400 Wible Rd, Ste 14, Bakersfield, CA 93304 2006-08-17
1588652549 Wible Pharmacy Inc Pharmacist 2400 Wible Rd, Bakersfield, CA 93304-4700 2005-10-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063041333 Luisa Maria Jimenez Case Manager/Care Coordinator 3501 Wilson Road, Bakersfield, CA 93304 2020-04-07
1215444955 New Start Youth Facility Inc Clinic/Center 2409 Belvedere Ave, Bakersfield, CA 93304 2018-01-03
1962924092 Paula Rebecca Gonsalez Case Manager/Care Coordinator 5121 Stockdale Highway Ste. 250, Bakersfield, CA 93304 2017-07-11
1528400033 Ruby Cruz Social Worker 609 4th Street, Bakersfield, CA 93304 2013-07-25
1548545502 Deidre Rochelle Lee-mcneill Pharmacist 3315 South H Street, Bakresfield, CA 93304 2011-10-20
1770863144 Robyn D Garcia Marriage & Family Therapist 3105 Wilson Road, Bakersfield, CA 93304 2011-08-17
1043502784 Arthur G Kaiser Dentist 2023 Brundage Lane, Bakersfield, CA 93304 2011-05-13
1063703361 Elite Women's Health Obstetrics & Gynecology 901 34th St., Bakerfield, CA 93304 2011-04-21
1730409020 Kabari Jamil Thompson Counselor 1902 South H St., Bakersfield, CA 93304 2010-06-09
1932439486 Fata Inc Acupuncturist 2004 Brundage Lane, Bakersfield, CA 93304 2010-01-06
Find all providers in zip 93304

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558903898 Omni Family Health Clinic/Center 2811 H Street, Bakersfield, CA 93301-1004 2019-10-08
1437791779 Omni Family Health Clinic/Center 1451 White Lane, Bakersfield, CA 93307-0902 2019-10-08
1164806410 Omni Family Health Clinic/Center 1022 Calloway Dr, Bakersfield, CA 93312-6337 2015-07-16
1336544790 Clinica Sierra Vista Clinic/Center 705 S Union Ave, Bakersfield, CA 93307-3635 2014-10-28
1851713929 Omni Family Health Clinic/Center 4131 Ming Ave, Bakersfield, CA 93309-4994 2014-01-09
1790128536 Clinca Sierra Vista Clinic/Center 9001 South H Street, Bakersfield, CA 93307 2013-04-11
1780928986 Omni Family Health Clinic/Center 4600 Panama Lane, 102b, Bakersfield, CA 93313-3509 2012-11-12
1942508270 Clinica Sierra Vista Clinic/Center 1125 E California Ave, Bakersfield, CA 93307 2011-03-10
1396879680 Clinca Sierra Vista Clinic/Center 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 2007-03-16
1659373017 Clinica Sierra Vista Clinic/Center 301 Brundage Lane, Bakersfield, CA 93304 2005-08-15
Find all providers in BAKERSFIELD

Competitor

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City BAKERSFIELD
Zip Code 93304

Improve Information

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Dataset Information

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.

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