CLINICA SIERRA VISTA (NPI# 1528336351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528336351 |
Entity Type | Organization |
Organization Name | CLINICA SIERRA VISTA |
Other Organization Name | WEST SHAW COMMUNITY HEALTH CENTER |
Practice Address |
4739 W Shaw Ave Ste 108 Fresno CA 93722-6265 |
Mailing Address |
Po Box 1559 1430 Truxtun Ave, Suite #400 Bakersfield CA 93302-1559 |
Practice Telephone | 6616353050 |
Practice Fax Number | 6618691503 |
Mailing Telephone | 6616353050 |
Mailing Fax Number | 6618691503 |
Enumeration Date | 2011-12-07 |
Last Update Date | 2012-05-17 |
Authorized Official Name | STEPHEN W SCHILLING (CEO) |
Authorized Official Telephone | 6616353050 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
CA | Ambulatory Health Care Facilities | |
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
West Shaw Community Health Center | Doing Business As Name - 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 |
4739 W SHAW AVE STE 108 |
City | FRESNO |
State | CA |
Zip Code | 93722-6265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356672703 | John Robert Logan | Internal Medicine | 4739 W Shaw Ave Ste 108, Fresno, CA 93722-6265 | 2010-01-25 |
1619245446 | Clinica Sierra Vista | Clinic/Center | 4739 W Shaw Ave Ste 108, Fresno, CA 93722-6265 | 2011-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
Find all providers in zip 93722 |
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.