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NPI Code Detail

MEDICARE: CLINICA SIERRA VISTA

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
1261QF0400XFederally Qualified Health Center (FQHC)
2261QM1300XMulti-Specialty Clinic/Center120000565CA
3282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1FHC 70954FOTHERCAFQHC
2GR # 0102290OTHERCAMULTI SPECIALTY

General Provider Information

NPI Number : 1285759225
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA SIERRA VISTA
Provider Business Mailing Address
First Line : PO BOX 1559
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1559
Country : US
Telephone Number : 661-635-3050
Fax Number : 661-732-3064
Provider Business Practice Location Address
First Line : 2400 WIBLE RD STE 14
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93304-4734
Country : US
Telephone Number : 661-835-1240
Fax Number : 661-835-4667
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. OLGA MEAVE
Credential : MD
Telephone Number : 661-635-3050
Provider Enumeration Date : 03/20/2007
Last Update Date : 02/09/2024

Similar Medicare Providers

1073515425 — CLINICA SIERRA VISTA
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667
1396879680 — CLINICA SIERRA VISTA
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667
1053435818 — CLINICA SIERRA VISTA
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667
1073793287 — DR. MA SIMONETTE BRON SOLER-RIVERA M.D.
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667
1962732313 — MR. RICK ALLEN HOBBS LMFT
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667
1275929333 — OLGA MEAVE M.D.
Practice Location Address:
2400 WIBLE RD STE 14
BAKERSFIELD, CA
93304-4734
Practice Phone: 661-835-1240
Practice Fax: 661-835-4667

Directions to “CLINICA SIERRA VISTA ” Practice Location

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