Healthcare Provider Details

I. General information

NPI: 1427960111
Provider Name (Legal Business Name): SIERRA FAMILY NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 OAK TREE WAY BLDG 6
MAMMOTH LAKES CA
93546
US

IV. Provider business mailing address

425 CLARKE ST UNIT B
BISHOP CA
93514-3528
US

V. Phone/Fax

Practice location:
  • Phone: 760-920-6574
  • Fax: 760-582-4559
Mailing address:
  • Phone: 760-920-6574
  • Fax: 760-582-4559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: GRACE VOORHEIS
Title or Position: OWNER
Credential: RD
Phone: 909-210-1901