SIERRA NEVADA PRIMARY CARE NPI 1235145608

NPI Information

  • NPI: 1235145608
  • Provider Name: SIERRA NEVADA PRIMARY CARE
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D0991196
  • Address: 140 LITTON DR STE 120
    GRASS VALLEY, CA
    ZIP 95945
  • Phone: (530) 272-9770

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NPI Details

SIERRA NEVADA PRIMARY CARE is a pediatrics in Grass Valley, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SIERRA NEVADA PRIMARY CARE NPI is 1235145608. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

140 LITTON DR STE 120
GRASS VALLEY, CA
ZIP 95945-080
Phone: (530) 272-9770
Fax: (530) 272-9796

The provider's authorized official is Mara Berezniak .
The authorized official title is Do and has the following contact phone number (530) 432-7023.

The CLIA number assigned to this NPI record is 05D0991196 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/24/2025.

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
1208000000XPediatricsG35403CALIFORNIANo
2208000000XPediatricsG237680CALIFORNIANo
3208000000XPediatricsA26753CALIFORNIANo
4208000000XPediatricsG34453CALIFORNIANo
5208000000XPediatricsA71856CALIFORNIANo
6208000000XPediatricsG61414CALIFORNIAYes

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: 11/21/2025

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