Active NPI
Sierra Medical, LLC
- Durable Medical Equipment & Medical Supplies
- Incline Village, NV
National Provider Identifier
1023237971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MP00461
- Legal business name
- SIERRA MEDICAL, LLC
- Practice address
- 865 Tahoe Blvd
Suite 207
Incline Village, NV 89451-9452 - Phone
- (775) 831-3600
- Fax
- (775) 831-3601
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey P. Cellini
- Title
- President
- Phone
- (775) 831-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MP00461 | NV | Primary |
Addresses
Primary practice location
865 Tahoe Blvd
Suite 207
Incline Village, NV 89451-9452
Mailing address
865 Tahoe Blvd
Suite 207
Incline Village, NV 89451-9452
Phone (775) 831-3600
National Provider Directory
National Provider DirectoryLocations
865 Tahoe Blvd
Ste 207
Incline Village, NV 89451
Phone (775) 831-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199232000000",
"number": "1023237971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 TAHOE BLVD",
"address_2": "SUITE 207",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894519452",
"telephone_number": "775-831-3600",
"fax_number": "775-831-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 TAHOE BLVD",
"address_2": "SUITE 207",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894519452",
"telephone_number": "775-831-3600",
"fax_number": "775-831-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIERRA MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2008-01-02",
"status": "A",
"authorized_official_last_name": "CELLINI",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-831-3600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NV",
"license": "MP00461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Incline Village, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.