CLINICA SIERRA VISTA (NPI# 1598225377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598225377 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Practice Address |
3451 W Shaw Ave Ste 101 Fresno CA 93711-3242 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 6616353050 |
| Practice Fax Number | 6613269716 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6613269716 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | STACY FERREIRA (CHIEF HUMAN RESOURCES OFFICER) |
| Authorized Official Telephone | 6616353050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Shaw Adult Behavioral Health Services | 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 |
3451 W SHAW AVE STE 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881733053 | Rohina Fazil | Social Worker | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2007-02-05 |
| 1588275531 | Bryan Manaysay Garcia | Counselor | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2020-08-13 |
| 1194343772 | David Ward Bonesteel | Counselor | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2020-07-09 |
| 1457996969 | Leng Her | Counselor | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2019-11-08 |
| 1336709419 | John Paul Canuday Palac | Social Worker | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2019-06-19 |
| 1669031332 | Vanessa Garcia Navarro | Marriage & Family Therapist | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2019-06-06 |
| 1760941892 | Andrea Fernandez Soto | Student in an Organized Health Care Education/Training Program | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2019-03-18 |
| 1710472956 | Esmeralda Roque | Counselor | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2018-06-29 |
| 1285129429 | Jaime Carlos Jr. | Counselor | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2018-06-29 |
| 1972001097 | Veronica Taylor | Student in an Organized Health Care Education/Training Program | 3451 W Shaw Ave Ste 101, Fresno, CA 93711-3242 | 2018-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| 1962054676 | County of Fresno | Clinic/Center | 4417 E Inyo St, Fresno, CA 93702-2977 | 2019-07-12 |
| 1740740331 | Clinica Sierra Vista | Clinic/Center | 3451 W Shaw Ave Ste 105, Fresno, CA 93711-3242 | 2019-03-21 |
| 1356865679 | Fresno Mental Psychological Health Services, P.C. | Clinic/Center | 4021 N Fresno Street, Ste. 101, Fresno, CA 93726 | 2017-07-28 |
| 1730445032 | Carol Montgomery Brosnac, Lmft | Clinic/Center | 5637 N Figarden Dr, Suite #116, Fresno, CA 93722-3580 | 2012-04-11 |
| 1023270907 | Metro Services | Clinic/Center | 4447 E. Kings Canyon Rd, Fresno, CA 93702 | 2008-07-01 |
| 1861527517 | County of Fresno | Clinic/Center | 4409 E Inyo St Unit A, Fresno, CA 93702-2977 | 2007-02-22 |
| 1659423580 | Fresno County West Fresno Regional Mh Clinic | Clinic/Center | 302 Fresno St Ste 201, Fresno, CA 93706-3641 | 2007-01-18 |
| 1699827576 | Supported Education Employment Services | Clinic/Center | 4447 E Kings Canyon Road, Unit E, Fresno, CA 93703 | 2007-01-18 |
| 1174691554 | Panacea, Inc. | Clinic/Center | 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 | 2006-12-01 |
| 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.