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SIERRA MOUNTAIN MEDICAL GROUP NPI 1770728677


NPI Information

NPI: 1770728677
Provider Name: SIERRA MOUNTAIN MEDICAL GROUP

Doing Business As: N/A

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
10978 DONNER PASS RD
TRUCKEE, CA
ZIP 96161
Phone: (530) 582-1212
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SIERRA MOUNTAIN MEDICAL GROUP is a cardiovascular disease internal medicine in Truckee, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SIERRA MOUNTAIN MEDICAL GROUP NPI is 1770728677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As N/a.

The provider's business location address is:

10978 DONNER PASS RD
TRUCKEE, CA
ZIP 96161-433
Phone: (530) 582-1212
Fax: (530) 587-4278

The provider's authorized official is J Timothy Lombard .
The authorized official title is Physician and has the following contact phone number (530) 582-1212.

The enumeration date for this NPI number is 12/5/2008 and was last updated on 3/7/2023.


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
1207RC0000XInternal MedicineCardiovascular DiseaseC386870CALIFORNIAYes

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
1C386870OTHERMEDICAL LICENSE NUMBER

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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