Healthcare Provider Details
I. General information
NPI: 1376668319
Provider Name (Legal Business Name): CLINICA SIERRA VISTA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2007
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1508 GARCES HWY
DELANO CA
93215-3687
US
IV. Provider business mailing address
PO BOX 21810
BAKERSFIELD CA
93390-1810
US
V. Phone/Fax
- Phone: 661-725-4780
- Fax: 661-725-1048
- Phone: 661-635-3050
- Fax: 661-732-3064
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | 120000404 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
OLGA
MEAVE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 661-635-3050