CLINICA SIERRA VISTA NPI 1073515425

NPI Information

NPI: 1073515425
Provider Name: CLINICA SIERRA VISTA

Doing Business As: SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
ZIP 93304
Phone: (661) 835-1240
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CLINICA SIERRA VISTA is a federally qualified health center (fqhc) clinic center in Bakersfield, CA. CLINICA SIERRA VISTA NPI is 1073515425. The provider is registered as an organization entity type.
The provider Is Doing Business As South Bakersfield Community Health Center.

The provider's business location address is:

2400 WIBLE RD STE 14
BAKERSFIELD, CA
ZIP 93304-734
Phone: (661) 835-1240
Fax: (661) 835-4667

The provider's authorized official is Olga Meave .
The authorized official title is Chief Executive Officer and has the following contact phone number (661) 635-3050.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 9/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	120000565	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BCP70954F	OTHER	CALIFORNIA	CDP
2	ZZZ05930Z	OTHER	CALIFORNIA	BLUE SHIELD PIN
3	70954F	MEDICAID	CALIFORNIA
4	HAP70954F	OTHER	CALIFORNIA	SOFP

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: 5/5/2024

NPI Synchronization or Removal

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