SIERRA INDUSTRIAL MEDICAL CLINIC, INC (NPI# 1538320999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538320999 |
| Entity Type | Organization |
| Organization Name | SIERRA INDUSTRIAL MEDICAL CLINIC, INC |
| Practice Address |
3636 N 1st St #135 Fresno CA 93726-6800 |
| Practice Telephone | 5592241770 |
| Practice Fax Number | 5592244536 |
| Mailing Telephone | 5592241770 |
| Mailing Fax Number | 5592244536 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | DR. MARILYN OLUFS BENCK (PRESIDENT) |
| Authorized Official Telephone | 5592241770 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | G42148 | CA | Ambulatory Health Care Facilities |
| Street Address |
3636 N 1ST ST #135 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871595215 | Margarette Marie Rhamie | Nurse Practitioner | 3636 N 1st St, Fresno, CA 93726 | 2005-08-15 |
| 1700407558 | Rachelle Schiller | Counselor | 3636 N 1st St, Fresno, CA 93726-6800 | 2020-05-04 |
| 1306489836 | Lauren Ordway | Counselor | 3636 N 1st St, Fresno, CA 93726-6800 | 2019-10-28 |
| 1215599634 | Mary A Flemming | Counselor | 3636 N 1st St, Fresno, CA 93726-6800 | 2019-07-05 |
| 1821554478 | Valerie Marie Ostrosky | Counselor | 3636 N 1st St, Suite #135 and #154, Fresno, CA 93726-6800 | 2019-02-19 |
| 1093266868 | Angelina Nebyshinets | Case Manager/Care Coordinator | 3636 N 1st St, Suite 162, Fresno, CA 93726-6800 | 2016-10-17 |
| 1780135566 | Shacola Thomas | Case Manager/Care Coordinator | 3636 N 1st St, Suite 162, Fresno, CA 93726-6800 | 2016-10-17 |
| 1518332493 | Valley Children's Primary Care Group, Inc. | Pediatrics | 3636 N 1st St, Suite 120&121, Fresno, CA 93726-6800 | 2015-12-03 |
| 1093185431 | Joseph Razo | Case Manager/Care Coordinator | 3636 N 1st St, Suite 162, Fresno, CA 93726-6800 | 2015-09-28 |
| 1730567306 | Elizabeth Lua | Case Manager/Care Coordinator | 3636 N 1st St, 162, Fresno, CA 93726-6800 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585629 | Rapid Compliance Services, Inc | Clinic/Center | 4339 N Golden State Blvd Ste 101, Fresno, CA 93722-3816 | 2020-07-07 |
| 1619591179 | Belonging, Love, Affinity, Community, Kinship Wellness & Prosperity Ce | Clinic/Center | 1133 S St, Fresno, CA 93721-1408 | 2020-06-01 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1184164873 | Todos Para La Salud | Clinic/Center | 4420 N First St #123, Fresno, CA 93726-2328 | 2017-03-01 |
| 1184049793 | Greater Fresno Health Organization | Clinic/Center | 4011 N Marks Ave, Fresno, CA 93722-4555 | 2014-02-19 |
| 1184048886 | Lalaine Tiu, Md Inc | Clinic/Center | 3069 Tulare St, Fresno, CA 93721-1434 | 2014-02-17 |
| 1225316573 | Amarpaul Singh Bhathal | Clinic/Center | 11338 N Blue Sage Ave, Fresno, CA 93730-8846 | 2011-08-03 |
| 1609190768 | Generational Changes, Inc. | Clinic/Center | 2409 Merced St, Fresno, CA 93721-1810 | 2010-03-18 |
| 1649505504 | Generational Changes, Inc. | Clinic/Center | 1313 P St Ste 200, Fresno, CA 93721-1827 | 2009-10-11 |
| 1437325685 | Dipti Kundaikar | Clinic/Center | 7300 North Fresno Street, Medical Staff Services, Sequoia 4, Fresno, CA 93270-2941 | 2008-05-07 |
| 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.