CLINICA SIERRA VISTA (NPI# 1942508270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942508270 |
| Entity Type | Organization |
| Organization Name | CLINICA SIERRA VISTA |
| Other Organization Name | EAST BAKERSFIELD DENTAL CENTER |
| Practice Address |
1125 E California Ave Bakersfield CA 93307 |
| Mailing Address |
Po Box 1559 1430 Truxtun Ave #400 Bakersfield CA 93302-1559 |
| Practice Telephone | 6616353050 |
| Mailing Telephone | 6616353050 |
| Mailing Fax Number | 6618691503 |
| Enumeration Date | 2011-03-10 |
| 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 |
|---|---|
| East Bakersfield Dental Center | Doing Business As Name - 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 |
1125 E CALIFORNIA AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033674817 | Yeon Ho Kim | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2019-02-05 |
| 1720593874 | Muthanna Bajnied | Student in an Organized Health Care Education/Training Program | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2017-12-12 |
| 1982011227 | Trang Ly Phuong Nguyen | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2014-07-18 |
| 1871911032 | Pono Kelly | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2014-04-03 |
| 1225462781 | Willis Yuen | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2013-09-02 |
| 1194070110 | Jay Rosamond Anderson | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2012-07-16 |
| 1780949644 | Jonathan Lee Browning | Dentist | 1125 E California Ave, Bakersfield, CA 93307-1201 | 2012-07-06 |
| 1710274204 | Ho Hoang Viet | Dentist | 1125 E California Ave, Bakersfield, CA 93307 | 2011-07-05 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559339 | Sayeh Massoumi,dental Corporation | Clinic/Center | 1010 Calloway Dr Ste 200b, Bakersfield, CA 93312-6391 | 2018-12-07 |
| 1467945212 | Ivan Medina-martinez, Dds | Clinic/Center | 3403 Wilson Rd, Bakersfield, CA 93309-5208 | 2018-06-07 |
| 1568776284 | Queiroz Dental Inc | Clinic/Center | 207 H St, Bakersfield, CA 93304-2911 | 2010-08-05 |
| 1104065416 | Edward H. Gruber, Dds | Clinic/Center | 3612 Coffee Rd, A, Bakersfield, CA 93308-5083 | 2009-02-10 |
| 1275772634 | Hacienda Dental | Clinic/Center | 1507 Panama Lane, 102, Bakersfield, CA 93307 | 2009-02-09 |
| 1124282397 | Premier Family Dentistry | Clinic/Center | 2520 H St Ste B, Bakersfield, CA 93301-2800 | 2008-07-16 |
| 1811155609 | Mill Rock Oral Surgery Dental Group | Clinic/Center | 1601 Mill Rock Way # A, Bakersfield, CA 93311-1315 | 2008-05-28 |
| 1265622591 | Le Nguyen Dds, Inc | Clinic/Center | 2217 Niles Pt, Bakersfield, CA 93306-4023 | 2007-08-01 |
| 1831399351 | Edward H. Gruber D.d.s. | Clinic/Center | 1491 White Ln, Bakersfield, CA 93307-4677 | 2007-07-23 |
| 1730786526 | Kathleen Rolfes Dmd, Inc. | Clinic/Center | 500 Old River Rd Ste 155, Bakersfield, CA 93311-9509 | 2020-10-05 |
| 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.