CLINICA SIERRA VISTA (NPI# 1346490927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346490927 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | REGIONAL MEDICAL COMMUNITY HEALTH CENTER - FAMILY PACT |
| Practice Address |
2505 E Divisadero St Fresno CA 93721-1401 |
| Mailing Address |
Po Box 1559 1430 Truxtun Ave Suite #400 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575500 |
| Practice Fax Number | 5594575599 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
040000557 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ54418Y | 01 |
| Other Name | Type Code |
|---|---|
| Regional Medical Community Health Center | Doing Business As Name - Organization |
| Regional Medical 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 |
2505 E DIVISADERO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858747 | Frances Williams | Nurse Practitioner | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2005-08-15 |
| 1346753019 | Ukamaka Onyia | Nurse Practitioner | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-11-15 |
| 1487163713 | Wendy Priscilla Rojas Acuna | Dentist | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-09-29 |
| 1912435637 | Hardeep Gill | Chiropractor | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2017-05-25 |
| 1326413675 | Wa Mee Vue | Physician Assistant | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2015-12-10 |
| 1366820748 | Mireya Cristina Sandoval | Student in an Organized Health Care Education/Training Program | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2015-05-18 |
| 1043659014 | Arvin Sanchez Fuentes | Student in an Organized Health Care Education/Training Program | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2013-06-22 |
| 1669816328 | Joann Freddie Skoufis | Nurse Practitioner | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2013-04-24 |
| 1518300466 | Ronald Eric Doria Tamondong | Pediatrics | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2013-04-10 |
| 1184916579 | Mary Elizabeth Mclain | Family Medicine | 2505 E Divisadero St, Fresno, CA 93721-1401 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CLINICA SIERRA VISTA.
| 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.