SIERRA NEVADA PRIMARY CARE (NPI# 1952621328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952621328 |
| Entity Type | Organization |
| Organization Name | SIERRA NEVADA PRIMARY CARE |
| Practice Address |
11400 Pleasant Valley Rd Penn Valley CA 95946-9001 |
| Mailing Address |
Po Box 459001 Grass Valley CA 95945-9101 |
| Practice Telephone | 5304327023 |
| Practice Fax Number | 5304327026 |
| Mailing Telephone | 5302729788 |
| Mailing Fax Number | 5302721056 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | DOUGLAS WAGNER (BOARD PRESIDENT) |
| Authorized Official Telephone | 5302729788 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 371126 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699719419 | Sierra Nevada Primary Care | Family Medicine | 140 Litton Dr Ste 110, Grass Valley, CA 95945-5078 | 2006-06-15 |
| 1548458839 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2007-10-11 |
| 1235145608 | Sierra Nevada Primary Care | Pediatrics | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-31 |
| Street Address |
11400 PLEASANT VALLEY RD |
| City | PENN VALLEY |
| State | CA |
| Zip Code | 95946-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770535585 | Mara Berezniak | Family Medicine | 11400 Pleasant Valley Rd, Penn Valley, CA 95946-9001 | 2006-05-17 |
| 1689988065 | Debra Kay Burger-bulawa | Nurse Practitioner | 11400 Pleasant Valley Rd, Penn Valley, CA 95946-9001 | 2010-07-28 |
| 1902911845 | Andrew G Burt | Family Medicine | 11400 Pleasant Valley Rd, Penn Valley, CA 95946-9001 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053583351 | Janet Ruth Bacheler | Psychologist | 11246 Pleasant Valley Road, Penn Valley, CA 95946 | 2008-03-26 |
| 1346386257 | Penn Valley Fire Protection District | Ambulance | 10513 Spenceville Road, Penn Valley, CA 95946 | 2007-01-29 |
| 1821154188 | Karen M Rinkleib | Chiropractor | 17328 Penn Valley Dr., Ste. C, Penn Valley, CA 95946 | 2006-12-29 |
| 1770673493 | Elizabeth Wobus | Internal Medicine | 11244 Pleasant Valley Dr, Penn Valley, CA 95946 | 2006-10-13 |
| 1013964220 | Wildwood Medical, A Medical Corp. | Family Medicine | 11244 Pleasant Valley Rd, Penn Valley, CA 95946 | 2006-05-31 |
| 1841218724 | Ian Macarthur Gow | Physician Assistant | 11386 Pleasant Valley Rd, Penn Valley, CA 95946 | 2006-07-18 |
| 1467654145 | Donald Wayne Magnuson | Dentist | 17420 Penn Valley Dr, Penn Valley, CA 95946-8945 | 2007-06-04 |
| 1851341812 | Patricia Hastert | Chiropractor | 17593 Penn Valley Dr, Penn Valley, CA 95946-8956 | 2006-05-11 |
| 1013981851 | Dva Renal Healthcare Inc | Clinic/Center | 11374 Pleasant Valley Rd, Penn Valley, CA 95946-9000 | 2006-02-16 |
| 1447234315 | George Broder | Internal Medicine | 11386 Pleasant Valley Rd, Penn Valley, CA 95946-9000 | 2005-12-02 |
| Find all providers in zip 95946 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336445642 | Sarah B. Klein | Nurse Practitioner | 915 Montgomery Ave Ste 400, Penn Valley, PA 19072 | 2011-02-03 |
| 1871662858 | Lois Ann Chenier | Nurse Practitioner | 11244 Pleasant Valley Rd, Penn Valley, CA 95946-9413 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | PENN VALLEY |
| Zip Code | 95946 |
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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.