Sierra Joint Community College District

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

SIERRA JOINT COMMUNITY COLLEGE DISTRICT

Doing business as

Sierra College, Nevada County Campus, Health Services

Practice address

250 Sierra College Dr
Grass Valley, CA 95945-5726

Phone

(530) 274-5317

Fax

(530) 274-5347

NPI assigned

Nov 15, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

SIERRA JOINT COMMUNITY COLLEGE DISTRICTAs reported in NPPES

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

Authorized official

Name

Wende D. Fortner, FNP

Title

Coordinator, Health Services

Phone

(916) 660-7491

Specialties & licenses 2

Addresses

Other names 2

• Sierra College, Nevada County Campus, Health Services Doing business as
• Sierra College, Health Services Other name

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

CLIA laboratory certificates

Tax ID family

Sierra Joint Community College District2 organizations share this tax ID, including this one

Part of

Sierra Joint Community College District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sierra Joint Community College District

  • Student Health Clinic/Center
  • Rocklin, CA
  • NPI 1669657219
  NPD tax ID

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063693349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SIERRA COLLEGE DR",
            "address_2": "HEALTH CENTER",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455726",
            "telephone_number": "530-274-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SIERRA COLLEGE DR",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455726",
            "telephone_number": "530-274-5317",
            "fax_number": "530-274-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA JOINT COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA JOINT COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2007-11-15",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "WENDE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COORDINATOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "916-660-7491",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra College, Nevada County Campus, Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra College, Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sierra Endoscopy Center, LLC
• Sierra Family Therapy Centers, Inc.
• Sierra Forever Families
• Sierra Forever Families
• Sierra Homebirth
• Sierra Mental Wellness Group
• Sierra Mental Wellness Group
• Sierra Nevada Anesthesia Medical Assoc Inc
• Sierra Nevada Anesthesia Medical Associates, Inc.
• Sierra Nevada Anesthesia Medical Associates, Inc.

• Student Health Clinic/Center in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.