CLINICA SIERRA VISTA (NPI# 1770895138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770895138 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | ELM DENTAL CENTER |
| Practice Address |
2756 S Elm Ave Fresno CA 93706-5435 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 5594575200 |
| Practice Fax Number | 5594575290 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-09-15 |
| 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 |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Elm Dental Center | Doing Business As Name - Organization |
| Elm Dental 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 |
2756 S ELM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93706-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588672968 | Deepinder Singh Grewal | Dentist | 2756 S Elm Ave, Fresno, CA 93706-5435 | 2006-08-03 |
| 1164979217 | Amanpreet Kaur | Dentist | 2756 S Elm Ave, Fresno, CA 93706-5435 | 2016-09-07 |
| 1396290979 | Harneet Kaur | Dentist | 2756 S Elm Ave, Fresno, CA 93706-5435 | 2016-08-24 |
| 1083005508 | Kwang Deuk Lee | Dentist | 2756 S Elm Ave, Fresno, CA 93706-5435 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1821567538 | Misty Dawn Shepherd | Counselor | 2772 Martin L King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1497224125 | Jose Jimenez | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1023587730 | James John Pokorny IIi | Counselor | 2772 Martin L. King Blvd, Fresno, CA 93706 | 2018-11-26 |
| 1932574225 | Brandi Leos | Counselor | 2772 Mlk Jr. Blvd, Fresno, CA 93706 | 2015-12-11 |
| 1174998199 | Jeremiah Hinojosa | Counselor | 2772 S M.l.k. Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| 1538534557 | Megan Mahoney | Counselor | 2772 S Martin Luther King Jr Blvd, Fresno, CA 93706 | 2015-12-02 |
| Find all providers in zip 93706 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327431 | Ryann Michelle Christensen, Dds, Ms, PC | Clinic/Center | 1642 E Herndon Ave Ste 105, Fresno, CA 93720-3377 | 2020-05-07 |
| 1083267512 | Jafarinejad & Seifi Dental Group Inc | Clinic/Center | 1265 E Shaw Ave Ste 100, Fresno, CA 93710-7803 | 2019-07-23 |
| 1619539384 | Jacob D. Weissich, Dds, Inc. | Clinic/Center | 7730 N Fresno St Ste 104, Fresno, CA 93720-2408 | 2019-07-02 |
| 1346805603 | Shih-yen Paul Hsiao, Dds, Mph, Jd, Inc. | Clinic/Center | 5678 N Palm Ave Ste 102, Fresno, CA 93704-1850 | 2019-05-02 |
| 1881199057 | Saleem & Alfroukh Dental Group Inc | Clinic/Center | 1215 N Del Mar Ave, Fresno, CA 93728-1958 | 2018-03-28 |
| 1700305802 | Luis Castillo Professional Dental Corporation | Clinic/Center | 5359 N Fresno St Ste 110f, Fresno, CA 93710-6864 | 2017-09-11 |
| 1407396062 | Bhatia Dental Corporation | Clinic/Center | 6721 N Milburn Ave, Ste 101, Fresno, CA 93722-2140 | 2017-03-02 |
| 1609239342 | Hugo Coronado Dds Inc | Clinic/Center | 6700 N Fresno St, 136, Fresno, CA 93710 | 2016-03-31 |
| 1992179204 | Better Life Imaging Center | Clinic/Center | 6535 N Palm Ave Ste 102, Fresno, CA 93704-1064 | 2015-11-24 |
| 1417334244 | A Beautiful Smile | Clinic/Center | 2440 E Soquel Cir, Fresno, CA 93720-4638 | 2015-04-30 |
| Find all providers in FRESNO | ||||
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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.