Organization Active NPI

Sierra Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Incline Village, NV
National Provider Identifier
1023237971
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MP00461 Issued in NV
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

Updated by the provider on Jan 2, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.