CLINICA SIERRA VISTA (NPI# 1861494338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861494338 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | EAST BAKERSFIELD COMMUNITY HEALTH CENTER |
| Practice Address |
815 Dr Martin Luther King Jr Blvd Bakersfield CA 93307-1365 |
| Mailing Address |
Po Box 1559 Bakersfield CA 93302-1559 |
| Practice Telephone | 6613223905 |
| Practice Fax Number | 6613221370 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2005-08-13 |
| Last Update Date | 2020-09-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDP | BCP70285F | 01 |
| CA | GR 0053150 | 05 | |
| CA | SOFP | HAP70285F | 01 |
| CA | FHC 70285F | 05 |
| Other Name | Type Code |
|---|---|
| East Bakersfield Community Health Center | Doing Business As Name - Organization |
| East Bakersfield Community Health 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 |
815 DR MARTIN LUTHER KING JR BLVD |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838428 | Kenia Cardona Velasco | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2020-07-11 |
| 1467962746 | Succura Malicca Davis | Registered Nurse | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-10-02 |
| 1437689502 | Ana Cristina Rivera Gonzalez | Marriage & Family Therapist | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-06-12 |
| 1861938441 | Carrie Woods | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2017-01-06 |
| 1629525597 | Devaughn Bell | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307 | 2016-09-08 |
| 1376948984 | Elizabeth Reyes | Dietitian, Registered | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-10-24 |
| 1093129702 | Jot Preet Singh Sahi | General Practice | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2014-06-20 |
| 1689095416 | Lakera Duncombe-jones | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, Bakersfield, CA 93307-1365 | 2013-12-20 |
| 1649560491 | Daniel B Jurich | Internal Medicine | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2011-04-13 |
| 1679703557 | Laura Louise Collins | Nurse Practitioner | 815 Dr Martin Luther King Jr Blvd, Bakersfield, CA 93307-1365 | 2009-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| 1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
| 1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
| 1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
| 1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
| 1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
| 1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
| Find all providers in zip 93307 | ||||
| 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 |
|---|---|---|---|---|
| 1558903898 | Omni Family Health | Clinic/Center | 2811 H Street, Bakersfield, CA 93301-1004 | 2019-10-08 |
| 1437791779 | Omni Family Health | Clinic/Center | 1451 White Lane, Bakersfield, CA 93307-0902 | 2019-10-08 |
| 1164806410 | Omni Family Health | Clinic/Center | 1022 Calloway Dr, Bakersfield, CA 93312-6337 | 2015-07-16 |
| 1336544790 | Clinica Sierra Vista | Clinic/Center | 705 S Union Ave, Bakersfield, CA 93307-3635 | 2014-10-28 |
| 1851713929 | Omni Family Health | Clinic/Center | 4131 Ming Ave, Bakersfield, CA 93309-4994 | 2014-01-09 |
| 1790128536 | Clinca Sierra Vista | Clinic/Center | 9001 South H Street, Bakersfield, CA 93307 | 2013-04-11 |
| 1780928986 | Omni Family Health | Clinic/Center | 4600 Panama Lane, 102b, Bakersfield, CA 93313-3509 | 2012-11-12 |
| 1942508270 | Clinica Sierra Vista | Clinic/Center | 1125 E California Ave, Bakersfield, CA 93307 | 2011-03-10 |
| 1396879680 | Clinca Sierra Vista | Clinic/Center | 2400 Wible Rd Ste 14, Bakersfield, CA 93304-4734 | 2007-03-16 |
| 1073515425 | Clinica Sierra Vista | Clinic/Center | 2400 Wible Rd, Suite 14, Bakersfield, CA 93304-4700 | 2005-08-15 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93307 |
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.