CLINICA SIERRA VISTA (NPI# 1659373017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659373017 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | CENTRAL BAKERSFIELD COMMUNITY HEALTH CENTER |
| Practice Address |
301 Brundage Lane Bakersfield CA 93304 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 6613236086 |
| Practice Fax Number | 6613246301 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | GUADALUPE TERRONES (CONTRACT ADMINISTRATOR) |
| Authorized Official Telephone | 6616353050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
120000198 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 11656G | 05 | |
| CA | CDP | BCP11656G | 01 |
| CA | SOFP | HAP11656G | 01 |
| Other Name | Type Code |
|---|---|
| Central Bakersfield Community Health Center | Doing Business As Name - Organization |
| Central Bakersfield Community Health Center | 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 |
301 BRUNDAGE LANE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467576215 | Clinica Sierra Vista | Clinic/Center | 301 Brundage Lane, Bakersfield, CA 93304 | 2007-03-19 |
| 1073647350 | Clinica Sierra Vista | Clinic/Center | 301 Brundage Lane, Bakersfield, CA 93302 | 2007-03-16 |
| 1043347461 | Stefanie Lynne Sanden | Registered Nurse | 301 Brundage Lane, Clinica Sierra Vista, Bakersfield, CA 93304 | 2007-02-27 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
| 1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
| 1164806410 | Omni Family Health | Clinic/Center | 1022 Calloway Dr, Bakersfield, CA 93312-6337 | 2015-07-16 |
| 1336544790 | Clinica Sierra Vista | Clinic/Center | 705 S Union Ave, Bakersfield, CA 93307-3635 | 2014-10-28 |
| 1851713929 | Omni Family Health | Clinic/Center | 4131 Ming Ave, Bakersfield, CA 93309-4994 | 2014-01-09 |
| 1790128536 | Clinca Sierra Vista | Clinic/Center | 9001 South H Street, Bakersfield, CA 93307 | 2013-04-11 |
| 1780928986 | Omni Family Health | Clinic/Center | 4600 Panama Lane, 102b, Bakersfield, CA 93313-3509 | 2012-11-12 |
| 1942508270 | Clinica Sierra Vista | Clinic/Center | 1125 E California Ave, Bakersfield, CA 93307 | 2011-03-10 |
| 1396879680 | Clinca Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-16 |
| 1073515425 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd, Suite 14, Bakersfield, CA 93304-4700 | 2005-08-15 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93304 |
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.