SIERRA-PACIFIC TECHNOLOGY INC. NPI 1407163710

NPI Information

NPI: 1407163710
Provider Name: SIERRA-PACIFIC TECHNOLOGY, INC.

Doing Business As: SIERRA-PACIFIC HEALTH SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
4873 WEST LN
SUITE C
STOCKTON, CA
ZIP 95210
Phone: (209) 472-1136
Get Directions

SIERRA-PACIFIC TECHNOLOGY, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Stockton, CA. SIERRA-PACIFIC TECHNOLOGY, INC. NPI is 1407163710. The provider is registered as an organization entity type.
The provider Is Doing Business As Sierra-pacific Health Supply.

The provider's business location address is:

4873 WEST LN
SUITE C
STOCKTON, CA
ZIP 95210-548
Phone: (209) 472-1136
Fax: (209) 472-1138

The provider's authorized official is Ukpong Uweh .
The authorized official title is President and has the following contact phone number (209) 472-1136.

The enumeration date for this NPI number is 9/8/2010 and was last updated on 1/27/2011.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	54805	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	6470950001	MEDICARE NSC	CALIFORNIA
2	DME02917F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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