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SIERRA NEVADA PRIMARY CARE NPI 1235145608


NPI Information

NPI: 1235145608
Provider Name: SIERRA NEVADA PRIMARY CARE

Doing Business As: SIERRA CARE PHYSICIANS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0991196

Address:
140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9780
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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 Is Doing Business As Sierra Care Physicians.

The provider's business location address is:

140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945-078
Phone: (530) 272-9780
Fax: (530) 272-0156

The provider's authorized official is Douglas E Wagner .
The authorized official title is President, Board Of Directors and has the following contact phone number (530) 272-9780.

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 8/22/2020.


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
1208000000XPediatricsG35403CALIFORNIANo
2208000000XPediatricsG237680CALIFORNIANo
3208000000XPediatricsA26753CALIFORNIANo
4208000000XPediatricsA71856CALIFORNIANo
5208000000XPediatricsG34453CALIFORNIANo
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: 4/28/2024

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