Healthcare Provider Details

I. General information

NPI: 1497425276
Provider Name (Legal Business Name): CLINICA SIERRA VISTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8787 HALL RD MODULAR UNIT, DOOR #2
LAMONT CA
93241-1953
US

IV. Provider business mailing address

PO BOX 21810
BAKERSFIELD CA
93390-1810
US

V. Phone/Fax

Practice location:
  • Phone: 661-845-5334
  • Fax:
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-732-3064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
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