=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831013408
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CLINCA SIERRA VISTA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2026
-----------------------------------------------------
Last Update Date | 08/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6001 TRUXTUN AVENUE, STE 220
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93309-0662
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-397-0279
-----------------------------------------------------
Fax | 661-397-3247
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 21810
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93390-1810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-635-3050
-----------------------------------------------------
Fax | 661-732-3064
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | DR. OLGA MEAVE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 661-635-3050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QF0400X
-----------------------------------------------------
Taxonomy Name | Federally Qualified Health Center (FQHC)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------