MEDICARE: CLINICA SIERRA VISTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	550000725	CA

General Provider Information

NPI Number	:	1174773642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA SIERRA VISTA

Provider Business Mailing Address
First Line	:	PO BOX 21810
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93390-1810
Country	:	US
Telephone Number	:	661-635-3050
Fax Number	:	661-732-3064

Provider Business Practice Location Address
First Line	:	3727 N 1ST ST STE 106
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93726-5628
Country	:	US
Telephone Number	:	559-457-6900
Fax Number	:	559-457-6990

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DR. OLGA MEAVE
Credential	:	M.D.
Telephone Number	:	661-635-3050

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	02/25/2026

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