MEDICARE: CLINICA SIERRA VISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225918733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA SIERRA VISTA

Provider Business Mailing Address
First Line	:	PO BOX 21810
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93390-1810
Country	:	US
Telephone Number	:	661-635-3050
Fax Number	:	661-732-3064

Provider Business Practice Location Address
First Line	:	11905 BOLTHOUSE DR STE 500&600
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-8494
Country	:	US
Telephone Number	:	833-678-2781
Fax Number	:	661-328-4029

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	OLGA MEAVE
Credential	:	M.D.
Telephone Number	:	661-635-3050

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	02/24/2026

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Directions to “CLINICA SIERRA VISTA ” Practice Location

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