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SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION NPI 1427072008


NPI Information

NPI: 1427072008
Provider Name: SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION

Doing Business As: SIERRA CARE PHYSICIANS, AMC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 477-4016
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SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION is a family medicine in Grass Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION NPI is 1427072008. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Sierra Care Physicians, Amc.

The provider's business location address is:

140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945-078
Phone: (530) 477-4016
Fax: (530) 477-4018

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) 477-4016.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 4/2/2012.


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
1363LA2200XNurse PractitionerAdult Health1730163791CALIFORNIANo
2207Q00000XFamily MedicineC52481CALIFORNIANo
3207Q00000XFamily Medicine20A7940CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ18985ZMEDICARE PINCALIFORNIA

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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