WESTERN SIERRA MEDICAL CLINIC, INC. (NPI# 1144770793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144770793 |
| Entity Type | Organization |
| Organization Name | WESTERN SIERRA MEDICAL CLINIC, INC. |
| Other Organization Name | WESTERN SIERRA MEDICAL CLINIC - LOCKSLEY |
| Practice Address |
12183 Locksley Ln Ste 107 Auburn CA 95602 |
| Mailing Address |
844 Old Tunnel Rd Grass Valley CA 95945-8524 |
| Practice Telephone | 5302734984 |
| Practice Fax Number | 5302734573 |
| Mailing Telephone | 5302749762 |
| Mailing Fax Number | 5302734573 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | FRANCINE NOVAK (CHIEF PLANNING AND DEVELOPMENT OFFI) |
| Authorized Official Telephone | 5302734984 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN SIERRA MEDICAL CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
230000145 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PARENT NPI | 1851513469 | 01 |
| Other Name | Type Code |
|---|---|
| Western Sierra Medical Clinic - Locksley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324512 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 8665 Salmon Avenue, Kings Beach, CA 96143 | 2018-07-31 |
| 1336627546 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603 | 2018-07-31 |
| 1356829576 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 10544 Spenceville Rd, Penn Valley, CA 95946-9623 | 2018-07-31 |
| 1851513469 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 209 Nevada Street, Downieville, CA 95936-0286 | 2007-05-03 |
| Street Address |
12183 LOCKSLEY LN STE 107 |
| City | AUBURN |
| State | CA |
| Zip Code | 95602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
| 1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
| 1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
| 1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
| 1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
| 1659478360 | Melanie M Lehman | Physician Assistant | 3254 Professional Dr, Auburn, CA 95602 | 2006-09-17 |
| Find all providers in zip 95602 | ||||
| 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 |
|---|---|---|---|---|
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1477909810 | Community Clinical Services, Inc. | Clinic/Center | 15 Sacred Heart Pl, Room A, Auburn, ME 04210-4938 | 2016-05-04 |
| 1336627546 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603 | 2018-07-31 |
| 1558862912 | Wellspace Health | Clinic/Center | 3133 Professional Dr, Auburn, CA 95603-2463 | 2018-02-21 |
| 1346695756 | Community Clinical Services, Inc. | Clinic/Center | 3 Willow Run, Room A, Auburn, ME 04210-8501 | 2016-05-04 |
| 1821442039 | Community Clinical Services, Inc. | Clinic/Center | 2 Great Falls Plz, Suite 21, Room A, Auburn, ME 04210-5966 | 2016-04-14 |
| 1487080958 | Community Clinical Services, Inc. | Clinic/Center | 60 Second St, Auburn, ME 04210-6853 | 2013-09-17 |
| 1972845691 | Healthpoint | Clinic/Center | 2704 I St Ne, Auburn, WA 98002-2411 | 2013-03-20 |
| 1538451166 | Community Clinical Services, Inc. | Clinic/Center | 38 Falcon Dr, Auburn, ME 04210-4384 | 2011-05-16 |
| 1447542071 | Community Clinical Services, Inc. | Clinic/Center | 38 Falcon Dr, Auburn, ME 04210-4384 | 2011-05-16 |
| Find all providers in AUBURN | ||||
Please comment or provide details below to improve the information on WESTERN SIERRA MEDICAL CLINIC, INC..
| 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.