Healthcare Provider Details
I. General information
NPI: 1255268678
Provider Name (Legal Business Name): SIERRA HEART AND VASCULAR INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
275 W HERNDON AVE
CLOVIS CA
93612-0204
US
IV. Provider business mailing address
275 W HERNDON AVE
CLOVIS CA
93612-0204
US
V. Phone/Fax
- Phone: 559-218-0076
- Fax:
- Phone: 559-218-0076
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KUMAR
SANAM
Title or Position: MANAGING/FOUNDER MEMBER
Credential:
Phone: 719-313-3558