Western Sierra Medical Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

G43289 Issued in CA

Legal business name

WESTERN SIERRA MEDICAL CLINIC, INC.

Practice address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524

Phone

(530) 273-4984

Fax

(530) 273-4573

NPI assigned

Nov 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Francine Novak

Title

Pdo

Phone

(530) 802-2706

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Western Sierra Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA4 enrollments

Enrollment records 4

Federally qualified health center certification: CCN 051002

Legal name

WESTERN SIERRA MEDICAL CLINIC INC

Doing business as

WESTERN SIERRA MEDICAL CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Mar 16, 2005

Last certification

Mar 16, 2005

Ownership / control type

For profit – corporation

Most recent change of ownership

Sep 2, 2010 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Aug 24, 1976 in CA

Enrollment address

844 Old Tunnel Road
Grass Valley, CA 95945-5952

Federally qualified health center certification: CCN 551863

Legal name

WESTERN SIERRA MEDICAL CLINIC INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 21, 1999

Last certification

Jun 21, 1999

Ownership / control type

For profit – partnership

Most recent change of ownership

Mar 1, 2025 (1 total)

Organization structure

CorporationNon-profit

Enrollment address

15301 Tyler Foote Rd
Nevada City, CA 95959-9318

Federally qualified health center certification: CCN A01181

Legal name

WESTERN SIERRA MEDICAL CLINIC INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 8, 2023

Last certification

Aug 8, 2023

Ownership / control type

For profit – corporation

Most recent change of ownership

Apr 1, 2025 (1 total)

Organization structure

CorporationNon-profit

Enrollment address

590 Searls Ave
Ste a
Nevada City, CA 95959-3053

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1427827161

  3971571217

  Same PAC ID
• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oregon House, CA
  • NPI 1780463257

  3971571217

  Same PAC ID
• Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
  • NPI 1851513469

  3971571217

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
  • NPI 1851513469

  O20040923000686

  Same enrollment

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 2

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Western Sierra Medical Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
  • NPI 1316169618

  Acquired from, 2025-03-01, Acquired from, 2025-04-01

  CMS change of ownership

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Michelle Church, PA-C

  • Medical Physician Assistant
  • Grass Valley, CA
  • NPI 1033800420
  Care Compare group NPD
• Andrea Gekas, CNM, WHNP

  • Ambulatory Women's Health Care Registered Nurse
  • Grass Valley, CA
  • NPI 1013571231
  Care Compare group NPD
• Alan F Gruenefeldt, MD

  • Family Medicine Physician
  • Auburn, CA
  • NPI 1780795930
  Care Compare group NPD
• Melissa Ann Gustafson

  • Family Nurse Practitioner
  • Grass Valley, CA
  • NPI 1659004133
  Care Compare group NPD
• Jessica Hamilton, M.D.

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1407116007
  Care Compare group NPD
• Faye Whiting Jensen, M.D.

  • Obstetrics & Gynecology Physician
  • Grass Valley, CA
  • NPI 1497717912
  Care Compare group NPD
• Jessica Lee Lusignan, FNP-BC

  • Family Nurse Practitioner
  • Grass Valley, CA
  • NPI 1427793389
  Care Compare group NPD
• Veronica S Minier, MD

  • Family Medicine Physician
  • Grass Valley, CA
  • NPI 1720050909
  Care Compare group NPD
• Mehran Moussavian, DO

  • Interventional Cardiology Physician
  • Chula Vista, CA
  • NPI 1689788234
  Care Compare group NPD
• Thomas A Jacobs, DPM

  • Podiatrist
  • Columbus, GA
  • NPI 1730114067
  Care Compare group NPD
• Joseph C Britton, M.D.

  • Emergency Medicine Physician
  • Grass Valley, CA
  • NPI 1902805831
  Care Compare group NPD (past)
• Victoria Huyen Dao, DNP, FNP-BC, AGNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1760201008

  Multi-Specialty

  Care Compare group NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1063496396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "address_2": "GRASS VALLEY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-273-4984",
            "fax_number": "530-273-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-273-4984",
            "fax_number": "530-273-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "PDO",
        "authorized_official_telephone_number": "530-802-2706"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "G43289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE-UNSPECIFIED",
            "identifier": "ZZZ22465Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70988F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE-UNSPECIFIED",
            "identifier": "051002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Sierra Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Sierra Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany M Wertz
• Jane Wertz
• Jeffrey A West, RADT-1
• Scott Christopher West
• Western Sierra Health Clinic
• Western Sierra Medical Clinic, Inc.
• Western Sierra Medical Clinic, Inc.
• Rhiannon Whitaker
• Ashley Michelle White
• Caitlin White

• All providers in Grass Valley, CA
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.