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SIERRA NEVADA PRIMARY CARE NPI 1699719419


NPI Information

NPI: 1699719419
Provider Name: SIERRA NEVADA PRIMARY CARE

Doing Business As: SIERRA CARE PHYSICIANS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
140 LITTON DR STE 110
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9770
Get Directions

SIERRA NEVADA PRIMARY CARE 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 NPI is 1699719419. 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 110
GRASS VALLEY, CA
ZIP 95945-078
Phone: (530) 272-9770
Fax: (530) 272-9796

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) 272-9791.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 12/12/2007.


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
1207Q00000XFamily Medicine20A7977CALIFORNIANo
2207Q00000XFamily MedicineG55765CALIFORNIANo
3207Q00000XFamily MedicineG13927CALIFORNIANo
4208000000XPediatricsG61414CALIFORNIANo
5208000000XPediatricsA71856CALIFORNIANo
6208000000XPediatricsG23768CALIFORNIANo
7208000000XPediatricsG35403CALIFORNIANo
8208000000XPediatricsA26753CALIFORNIANo
9208000000XPediatricsG34453CALIFORNIANo
10207Q00000XFamily Medicine20A79401CALIFORNIAYes

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
1H66067MEDICARE UPINCALIFORNIA
2A45931MEDICARE UPINCALIFORNIA
3H65229MEDICARE UPINCALIFORNIA
4F37879MEDICARE UPINCALIFORNIA
5A24950MEDICARE UPINCALIFORNIA
6A39118MEDICARE UPINCALIFORNIA
7H75406MEDICARE UPINCALIFORNIA
8A51763MEDICARE UPINCALIFORNIA
9ZZZ18985ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPRACTICE ID NUMBER
10A42062MEDICARE UPINCALIFORNIA
11E48092MEDICARE UPINCALIFORNIA

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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