SIERRA IMAGING ASSOCIATES MEDICAL GROUP PROFESSIONAL CORPORATION (NPI# 1336165752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336165752 |
| Entity Type | Organization |
| Organization Name | SIERRA IMAGING ASSOCIATES MEDICAL GROUP PROFESSIONAL CORPORATION |
| Practice Address |
231 W Fir Ave Clovis CA 93611-0220 |
| Practice Telephone | 5592970300 |
| Practice Fax Number | 5593235461 |
| Mailing Telephone | 5592970300 |
| Mailing Fax Number | 5593235461 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2012-10-01 |
| Authorized Official Name | DR. MARK DAVID ALSON (PRESIDENT) |
| Authorized Official Telephone | 5592970300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE ID | DC8367 | 01 |
| Street Address |
231 W FIR AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529135 | Martin Arthur Rindahl | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1427079581 | Fresno Imaging Center Medical Group | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2006-07-22 |
| 1417953274 | Felix W Wang | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-24 |
| 1952307894 | Glenn Isamu Hananouchi | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-24 |
| 1437155496 | Bonna Rogers-neufeld | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1154327112 | Sadri Mehmet Akin | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1063418028 | Mark David Alson | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1508862566 | Leyla Mohassessy Azmoun | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| 1417953472 | Larry Jess De St. Jeor | Radiology | 231 W Fir Ave, Clovis, CA 93611-0220 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1538700588 | Central Valley Medical Imaging, LLC | Clinic/Center | 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 | 2019-10-01 |
| 1700447497 | Ester A Hanna | Clinic/Center | 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 | 2019-06-24 |
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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.