CLINICA SIERRA VISTA (NPI# 1083864557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083864557 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | ORANGE AND BUTLER COMMUNITY HEALTH CENTER - CDP/EWC |
| Practice Address |
1350 S Orange Ave Fresno CA 93702-3463 |
| Mailing Address |
Po Box 1559 1430 Truxtun Ave. Suite #400 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575400 |
| Practice Fax Number | 5594575491 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2008-09-22 |
| 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 | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
040000014 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUESHIELD | ZZZ54417Y | 01 |
| Other Name | Type Code |
|---|---|
| Orange and Butler Community Health Center | Doing Business As Name - Organization |
| Orange and Butler Community Health Center - CDP/EWC | 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 |
1350 S ORANGE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882360 | Mark Anthony Pinto | Internal Medicine | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2005-09-21 |
| 1275016172 | Alejandra Mata | Social Worker | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2018-09-07 |
| 1477925147 | Ayako Bonesteel | Nurse Practitioner | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2015-10-21 |
| 1598907255 | Haley Margaret Hendrix | Registered Nurse | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1912149691 | Julie Nicole | Obstetrics & Gynecology | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2009-03-27 |
| 1164672747 | Clinica Sierra Vista | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2008-09-19 |
| 1740439314 | Clinica Sierra Vista | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2008-09-18 |
| 1831396431 | Anna Nguyen | Pediatrics | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-06-28 |
| 1780711150 | Sequoia Community Health Foundation | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-02-27 |
| 1598892960 | Sequoia Community Health Foundation, Inc | Clinic/Center | 1350 S Orange Ave, Fresno, CA 93702-3463 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548414717 | Robert E Curry M D Inc | Clinic/Center | 5321 N Fresno St, Suite 105c, Fresno, CA 93710-6850 | 2008-11-13 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1851463830 | Kalwant S. Dhillon, M.d. | Clinic/Center | 6079 N Fresno St Ste 101, Fresno, CA 93710-5276 | 2006-11-14 |
| 1245329382 | Sonography Center, Inc. | Clinic/Center | 7341 N First St, Suite 107, Fresno, CA 93720-2948 | 2006-10-12 |
| 1013540715 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 6181 N Thesta St Ste 104, Fresno, CA 93710-8604 | 2020-02-20 |
| 1528336351 | Clinica Sierra Vista | Clinic/Center | 4739 W Shaw Ave Ste 108, Fresno, CA 93722-6265 | 2011-12-07 |
| 1396044061 | William M. Rich, M.d., Inc. | Clinic/Center | 6323 N Fresno St, Ste. 105, Fresno, CA 93710-5282 | 2011-03-21 |
| 1184878340 | Keith O Kielmeyer Md Professional Corporation | Clinic/Center | 5536 E Lane Ave, Fresno, CA 93727-5336 | 2008-11-13 |
| 1982854550 | Clinica Sierra Vista | Clinic/Center | 5784 S Elm Ave, Fresno, CA 93706-5813 | 2008-09-19 |
| 1083864656 | Clinica Sierra Vista | Clinic/Center | 145 N Clark St, Fresno, CA 93701-2108 | 2008-09-19 |
| Find all providers in FRESNO | ||||
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.