CLINICA SIERRA VISTA (NPI# 1073647350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073647350 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | CENTRAL BAKERSFIELD COMMUNITY HEALTH CENTER - FAMILY PACT |
| Practice Address |
301 Brundage Lane Bakersfield CA 93302 |
| Mailing Address |
Po Box 1559 1430 Truxtun Avenue Ste. 400 Bakersfield CA 93302-1559 |
| Practice Telephone | 6613236086 |
| Practice Fax Number | 6613246301 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-09-15 |
| Authorized Official Name | KELLY LUTZ (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 5594575835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
120000198 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FAMILY PACT | HAP11656G | 01 |
| CA | FQHC | FHC11656G | 01 |
| Other Name | Type Code |
|---|---|
| Central Bakersfield Community Health Center | Doing Business As Name - Organization |
| Central Bakersfield Community Health Center - FAMILY PACT | 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 | 93302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373017 | Clinica Sierra Vista | Clinic/Center | 301 Brundage Lane, Bakersfield, CA 93304 | 2005-08-15 |
| 1467576215 | Clinica Sierra Vista | Clinic/Center | 301 Brundage Lane, Bakersfield, CA 93304 | 2007-03-19 |
| 1043347461 | Stefanie Lynne Sanden | Registered Nurse | 301 Brundage Lane, Clinica Sierra Vista, Bakersfield, CA 93304 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801941802 | Leslie Anne Rich | Case Manager/Care Coordinator | 3300 Truxtun Avenue, Bakersfield, CA 93302 | 2007-01-23 |
| 1619311784 | Advinto Tomas Alejo | Licensed Vocational Nurse | 2151 College Ave., Bakersfield, CA 93302 | 2013-04-19 |
| 1447516505 | Derrick Leondras Kenner | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93302 | 2012-04-03 |
| 1306155387 | Jamie G. Kelley | Marriage & Family Therapist | 1401 L Street, Bakersfield, CA 93302-1000 | 2010-09-24 |
| 1215390711 | Yoel Olazabal Pupo | General Practice | 7800 Niles Street, Bakersfield, CA 93302-1559 | 2016-04-01 |
| 1437299583 | Elisa Nevius | Psychologist | 1730 18th St, Bakersfield, CA 93302-7001 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1952901696 | Sara Espinoza | Behavior Technician | 5900 Osborne Ct, Bakersfield, CA 93307-5577 | 2020-10-30 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1760081335 | Lauren Elizabeth Yoder | Driver | 2520 Bishop Dr Apt 100, Bakersfield, CA 93306-1070 | 2020-10-23 |
| 1346849122 | Pacifica Bakersfield Lp | Assisted Living Facility | 3209 Brookside Dr, Bakersfield, CA 93311-3459 | 2020-10-22 |
| 1750980512 | Blessing for All Inc | Hospice Care, Community Based | 2215 California Ave, Bakersfield, CA 93304-1110 | 2020-10-22 |
| 1881293611 | Kenneth Toran Wiley Jr. | Marriage & Family Therapist | 7615 Indian Gulch St, Bakersfield, CA 93313-4337 | 2020-10-22 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1609475904 | Justin James Lemoine | Physical Therapist | 4300 Stine Rd Ste 108, Bakersfield, CA 93313-2352 | 2020-10-19 |
| Find all providers in BAKERSFIELD | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326395732 | Clinica Sierra Vista | Clinic/Center | 234 Baker St Ste 1&2, Bakersfield, CA 93305-5856 | 2012-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201687 | Family Gold, LLC | Clinic/Center | 1133 Mohawk, Topanga, CA 90290-4446 | 2020-10-06 |
| 1992330690 | Affordable Urgent Care, Inc | Clinic/Center | 21300 Sherman Way Ste 3, Canoga Park, CA 91303-3672 | 2020-03-03 |
| 1437716180 | Erica Tobin Rossio | Clinic/Center | 11451 Blue Cypress Dr, San Diego, CA 92131-3772 | 2019-05-28 |
| 1063908432 | San Diego First Medical Center | Clinic/Center | 4539 College Ave, San Diego, CA 92115-4010 | 2018-07-09 |
| 1801399860 | Northeast Valley Health Corporation | Clinic/Center | 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 | 2018-03-15 |
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1922528694 | Asian and Pacific Islander Wellness Center, Inc. | Clinic/Center | 1800 Market St Ste 401, San Francisco, CA 94102-6227 | 2017-06-23 |
| 1972908044 | Community Support Clinic, Inc. | Clinic/Center | 506 S San Pedro St, Suite A, Los Angeles, CA 90013-2102 | 2014-10-30 |
| 1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
| 1538592472 | Birth Your Way Birth Center - An International Midwifery Practice | Clinic/Center | 12152 Bryant St, Yucaipa, CA 92399-4478 | 2013-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93302 |
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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.