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SIERRA DOCTORS MEDICAL GROUP INC NPI 1669575841


NPI Information

NPI: 1669575841
Provider Name: SIERRA DOCTORS MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0695106

Address:
275 GRASS VALLEY HWY
AUBURN, CA
ZIP 95603
Phone: (530) 885-0344
Get Directions

SIERRA DOCTORS MEDICAL GROUP INC is a family medicine in Auburn, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SIERRA DOCTORS MEDICAL GROUP INC NPI is 1669575841. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

275 GRASS VALLEY HWY
AUBURN, CA
ZIP 95603-533
Phone: (530) 885-0344
Fax: (530) 885-8967

The provider's authorized official is Jerry John Boeye .
The authorized official title is President and has the following contact phone number (530) 885-0344.

The CLIA number assigned to this NPI record is 05D0695106 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 1/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineC033573CALIFORNIANo
2207Q00000XFamily MedicineCO33573CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A35314MEDICARE UPINCALIFORNIA
27401590001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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