Healthcare Provider Details

I. General information

NPI: 1346164282
Provider Name (Legal Business Name): SIERRA VISTA CHILD & FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 N CARPENTER RD STE D
MODESTO CA
95351-1185
US

IV. Provider business mailing address

1600 N CARPENTER RD STE B
MODESTO CA
95351-1185
US

V. Phone/Fax

Practice location:
  • Phone: 209-524-6371
  • Fax: 209-527-6839
Mailing address:
  • Phone: 209-252-0419
  • Fax: 209-527-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STACEY SILVEIRA
Title or Position: DIRECTOR OF QUALITY ASSURANCE
Credential:
Phone: 209-523-4610