CLINCA SIERRA VISTA (NPI# 1245480821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245480821 |
| Entity Type | Organization |
| Organization Name | CLINCA SIERRA VISTA |
| Other Organization Name | ELM WOMEN'S & PEDIATRIC COMMUNITY HEALTH CENTER - FAMILY PACT |
| Practice Address |
2760 S Elm Ave Fresno CA 93706-5435 |
| Mailing Address |
Po Box 1559 1430 Truxtun Ave Suite #400 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575314 |
| Practice Fax Number | 5594576990 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2008-09-19 |
| 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 | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
550000525 | CA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ54415Y | 01 |
| Other Name | Type Code |
|---|---|
| Elm Women's & Pediatric Community Health Center | Doing Business As Name - Organization |
| Elm Women's & Pediatric Community Health Center - FAMILY PACT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1053969642 | Clinca Sierra Vista | Clinic/Center | 1510 N Lafayette Ave, Fresno, CA 93728-1123 | 2019-08-28 |
| 1972908333 | Clinca Sierra Vista | Clinic/Center | 4498 N Brawley Ave, Fresno, CA 93722-3917 | 2014-10-28 |
| 1790100402 | Clinca Sierra Vista | Clinic/Center | 1120 East Church Ave, Fresno, CA 93706 | 2014-03-04 |
| 1790128536 | Clinca Sierra Vista | Clinic/Center | 9001 South H Street, Bakersfield, CA 93307 | 2013-04-11 |
| 1881814838 | Clinca Sierra Vista | Psychologist | 355 Dover Pkwy, Delano, CA 93215-3440 | 2007-05-01 |
| 1801910633 | Clinca Sierra Vista | Clinic/Center | 1305 Bear Mountain Blvd Ste B, Arvin, CA 93203-1231 | 2007-03-19 |
| 1396879680 | Clinca Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-16 |
| 1780718957 | Clinca Sierra Vista | Clinic/Center | 6310 Lake Isabella Blvd., Lake Isabella, CA 93240-9222 | 2007-03-16 |
| 1063414548 | Clinca Sierra Vista | Respite Care | 234 Baker St, Suite 1, Suite 3, Bakersfield, CA 93305-5856 | 2005-08-15 |
| Street Address |
2760 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957010 | Ian Douglas Macagy | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2006-05-11 |
| 1578046173 | Elizabeth A. Reinholt | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2018-09-10 |
| 1710369657 | Margaret Tharyna German De La Cruz | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2015-06-27 |
| 1881024305 | Manita Kaur Nat | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2013-11-19 |
| 1588911960 | Walter Valdevilla Laurel | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2012-08-05 |
| 1225391576 | Jolie S Ramesar | Pediatrics | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2012-06-21 |
| 1225307614 | Laura Beth Schleicher | Advanced Practice Midwife | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2011-12-14 |
| 1902135577 | Alma Bustamante Dayanghirang | Obstetrics & Gynecology | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2009-12-10 |
| 1669621447 | Clinica Sierra Vista | Clinic/Center | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2008-09-16 |
| 1508066671 | Kalila Deniece Banks | Physician Assistant | 2760 S Elm Ave, Fresno, CA 93706-5435 | 2007-07-18 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129112 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1901 E Shields Ave Ste 103, Fresno, CA 93726-5313 | 2020-06-23 |
| 1891319562 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2610 Tuolumne St Bldg B, Fresno, CA 93721-1227 | 2020-05-29 |
| 1457974206 | United Health Centers of The San Joaquin Valley | Clinic/Center | 2630 Tuolumne St Bldg A, Fresno, CA 93721-1227 | 2020-05-27 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1053969642 | Clinca Sierra Vista | Clinic/Center | 1510 N Lafayette Ave, Fresno, CA 93728-1123 | 2019-08-28 |
| 1265087316 | United Health Centers of The San Joaquin Valley | Clinic/Center | 1780 E Bullard Ave, Fresno, CA 93710-5861 | 2019-08-06 |
| 1972908333 | Clinca Sierra Vista | Clinic/Center | 4498 N Brawley Ave, Fresno, CA 93722-3917 | 2014-10-28 |
| 1790100402 | Clinca Sierra Vista | Clinic/Center | 1120 East Church Ave, Fresno, CA 93706 | 2014-03-04 |
| 1033486048 | Clinica Sierra Vista | Clinic/Center | 3645 W Shaw Ave Ste 101, Fresno, CA 93711-3206 | 2011-11-18 |
| 1609026285 | Clinica Sierra Vista | Clinic/Center | 3727 N 1st St Ste 106, Fresno, CA 93726-5628 | 2008-09-19 |
| Find all providers in FRESNO | ||||
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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.