CLINCA SIERRA VISTA (NPI# 1396879680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396879680 |
| Entity Type | Organization |
| Organization Name | CLINCA SIERRA VISTA |
| Other Organization Name | SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER - FAMILY PACT |
| Practice Address |
2400 Wible Rd Ste 14 Bakersfield CA 93304-4734 |
| Mailing Address |
Po Box 1559 1430 Truxtun Avenue Ste. 400 Bakersfield CA 93302-1559 |
| Practice Telephone | 6618351240 |
| Practice Fax Number | 6618354667 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | KELLY LUTZ (REVENUE CYCLE DIRECTOR) |
| 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 |
120000565 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY PACT | HAP70954F | 01 |
| CA | FAMILY PACT | FHC70954F | 01 |
| Other Name | Type Code |
|---|---|
| South Bakersfield Community Health Center | Doing Business As Name - Organization |
| South Bakersfield 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 |
| 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 |
| 1457353831 | Clinca Sierra Vista | Clinic/Center | 704 Lebec Rd, Lebec, CA 93243 | 2005-08-15 |
| Street Address |
2400 WIBLE RD STE 14 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93304-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356864540 | Josephine Jumangit Gabrillo | Nurse Practitioner | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2017-07-20 |
| 1861925976 | Gabriel Alejandro Villachica | Nurse Practitioner | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2017-04-05 |
| 1467908947 | Melessa Mattis | Nurse Practitioner | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2016-08-25 |
| 1821495953 | Emily Elizabeth Robb | Nurse Practitioner | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2014-12-04 |
| 1073793287 | Ma Simonette Bron Soler-rivera | Internal Medicine | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-11-06 |
| 1285759225 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-20 |
| 1053435818 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-19 |
| 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 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 |
|---|---|---|---|---|
| 1326395732 | Clinica Sierra Vista | Clinic/Center | 234 Baker St Ste 1&2, Bakersfield, CA 93305-5856 | 2012-08-06 |
| 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 | ||||
| City | BAKERSFIELD |
| Zip Code | 93304 |
Please comment or provide details below to improve the information on CLINCA 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.