Healthcare Provider Details

I. General information

NPI: 1205222544
Provider Name (Legal Business Name): CLINICA SIERRA VISTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 BAKER ST # 4
BAKERSFIELD CA
93305-4341
US

IV. Provider business mailing address

PO BOX 21810
BAKERSFIELD CA
93390-1810
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-4283
  • Fax: 661-843-8619
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-732-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. OLGA MEAVE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 661-635-3050