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CLINICA SIERRA VISTA NPI 1093717779


NPI Information

NPI: 1093717779
Provider Name: CLINICA SIERRA VISTA

Doing Business As: 34TH STREET COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D0892102

Address:
2000 PHYSICIANS BLVD
BAKERSFIELD, CA
ZIP 93301
Phone: (661) 324-1455
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CLINICA SIERRA VISTA is a federally qualified health center (fqhc) clinic center in Bakersfield, CA. CLINICA SIERRA VISTA NPI is 1093717779. The provider is registered as an organization entity type.
The provider Is Doing Business As 34th Street Community Health Center.

The provider's business location address is:

2000 PHYSICIANS BLVD
BAKERSFIELD, CA
ZIP 93301-277
Phone: (661) 324-1455
Fax: (661) 324-3720

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 CLIA number assigned to this NPI record is 05D0892102 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1FHC 70598FMEDICAIDCALIFORNIA
2ZZZ 14430ZOTHERCALIFORNIAMEDICARE Z NUMBER
3HAP70598FOTHERCALIFORNIASOFP
4BCP70598FOTHERCALIFORNIACDP

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
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