CLINICA SIERRA VISTA (NPI# 1194978973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194978973 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | WEST FRESNO COMMUNITY HEALTH CENTER - FAMILY PACT |
| Practice Address |
302 Fresno St Ste(s) 101, 103, 200 & 204 Fresno CA 93706-3600 |
| Mailing Address |
Po Box 1559 1430 Truxtun Ave Ste 400 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575700 |
| Practice Fax Number | 5594575790 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | KELLY LUTZ (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 5594575835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
040000549 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ54419Y | 01 |
| Other Name | Type Code |
|---|---|
| West Fresno Community Health Center | Doing Business As Name - Organization |
| West Fresno Community Health Center - FAMILY PACT | Other Name - Individual/Organization |
| 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 |
| Street Address |
302 FRESNO ST STE(S) 101, 103, 200 & 204 |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124070552 | Sequoia Community Health Foundation, Inc. | Clinic/Center | 302 Fresno St, Suite 102, Fresno, CA 93706-3600 | 2006-05-16 |
| 1023472743 | Kevin Dipondo Ouma | Internal Medicine | 302 Fresno St, Fresno, CA 93706-3600 | 2016-04-08 |
| 1700246865 | Affirm Medical Group, Inc | Clinic/Center | 302 Fresno St, Suite 105, Fresno, CA 93706-3600 | 2016-03-02 |
| 1891116414 | West Fresno Foot Clinic Inc | Podiatrist | 302 Fresno St, 105, Fresno, CA 93706-3600 | 2013-12-27 |
| 1497183560 | Angela Brown | Nurse Practitioner | 302 Fresno St, Suite 105, Fresno, CA 93706-3600 | 2013-10-28 |
| 1811225386 | Prabhdeep Kaur Gill | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706 | 2009-11-22 |
| 1275786063 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Suite #101, #103, #200, #204, Fresno, CA 93706-3600 | 2008-10-24 |
| 1326297904 | Clinica Sierra Vista | Clinic/Center | 302 Fresno St, Ste 101, 103, 200, 204, Fresno, CA 93706-3600 | 2008-09-18 |
| 1689834517 | Evelen Soliman | Obstetrics & Gynecology | 302 Fresno St, Ste # 201, Fresno, CA 93706-3600 | 2008-06-13 |
| 1386839538 | Nadereh H Ebrahimi | Dentist | 302 Fresno St, Suite 204, Fresno, CA 93706-3600 | 2007-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173829 | Family Wellness Clinic | Clinic/Center | 3152 N Millbrook Ave, Suite C, Fresno, CA 93703-1400 | 2013-10-18 |
| 1245480821 | Clinca Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-19 |
| 1225287808 | Clinica Sierra Vista | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2008-09-18 |
| 1811146525 | Clinica Sierra Vista | Clinic/Center | 145 N Clark St, Fresno, CA 93701-2108 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201687 | Family Gold, LLC | Clinic/Center | 1133 Mohawk, Topanga, CA 90290-4446 | 2020-10-06 |
| 1992330690 | Affordable Urgent Care, Inc | Clinic/Center | 21300 Sherman Way Ste 3, Canoga Park, CA 91303-3672 | 2020-03-03 |
| 1437716180 | Erica Tobin Rossio | Clinic/Center | 11451 Blue Cypress Dr, San Diego, CA 92131-3772 | 2019-05-28 |
| 1063908432 | San Diego First Medical Center | Clinic/Center | 4539 College Ave, San Diego, CA 92115-4010 | 2018-07-09 |
| 1801399860 | Northeast Valley Health Corporation | Clinic/Center | 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 | 2018-03-15 |
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1922528694 | Asian and Pacific Islander Wellness Center, Inc. | Clinic/Center | 1800 Market St Ste 401, San Francisco, CA 94102-6227 | 2017-06-23 |
| 1972908044 | Community Support Clinic, Inc. | Clinic/Center | 506 S San Pedro St, Suite A, Los Angeles, CA 90013-2102 | 2014-10-30 |
| 1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
| 1538592472 | Birth Your Way Birth Center - An International Midwifery Practice | Clinic/Center | 12152 Bryant St, Yucaipa, CA 92399-4478 | 2013-08-14 |
| Find all providers with the same taxonomy | ||||
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| 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.