NPIMap

Organization Active NPI

Clinica Sierra Vista

Doing business as South Bakersfield Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
National Provider Identifier
1073515425
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
120000565 Issued in CA
Legal business name
CLINICA SIERRA VISTA
Doing business as
South Bakersfield Community Health Center
Practice address
2400 Wible Rd Ste 12&14
Bakersfield, CA 93304-4700
Phone
(661) 835-1240
Fax
(661) 835-4667
NPI assigned
Aug 15, 2005
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Dr. Olga Meave, M.D.NPI 1275929333
Title
Chief Executive Officer
Phone
(661) 635-3050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 120000565 CA Primary

Addresses

Primary practice location

2400 Wible Rd Ste 12&14
Bakersfield, CA 93304-4700

Mailing address

PO Box 21810
Bakersfield, CA 93390-1810
Phone (661) 635-3050

Other names 1

  • South Bakersfield Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000928 CA Part B Supplier - Clinic/Group Practice 3870407505 Receives reassigned benefits from 253 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bakersfield, CA; Wofford Heights, CA; MC Farland, CA; Lebec, CA; Lamont, CA; Delano, CA; Arvin, CA
O20040401000156 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870407505 Practice locations: Bakersfield, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073515425. Details of each certification follow.

Federally qualified health center certification: CCN 551964

Legal name
CLINICA SIERRA VISTA
Doing business as
SOUTH BAKERSFIELD COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 4, 2004
Last certification
Apr 4, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 22, 1971 in CA
Enrollment address
2400 Wible Rd
Ste 14
Bakersfield, CA 93304-4734

Other NPIs on the same Medicare enrollment 21

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

View all 21

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Olga Meave Individual Corporate OfficerCeo Apr 5, 2022
Operational/Managerial ControlInterim Ceo Apr 5, 2022
Di Wu Individual Corporate DirectorBoard Member Aug 1, 2023
Mario a Valenzuela Individual Corporate DirectorBoard Member Jan 28, 2021
Brian S Conner Individual Corporate DirectorBoard Member Sep 1, 2023
Jordan Davis Individual Corporate DirectorBoard Member Nov 30, 2021
Jaberpreet Singh Individual Corporate DirectorBoard Member Nov 1, 2023
Enrique Sahagun Individual Corporate DirectorBoard Member Nov 30, 2021
Amandeep Kaur Individual Corporate DirectorBoard Member Apr 25, 2024
Jose J Valdovinos Individual Corporate DirectorBoard Member Oct 1, 2017
Janie Yadon Ashley Individual Corporate DirectorBoard Member May 12, 2022
Michael Cosimano Individual Corporate DirectorBoard Member Aug 1, 2018
Kelly Jeannine Lutz Individual W-2 Managing EmployeeRevenue Cycle Director Aug 23, 2010
Philipp R Melendez Individual Corporate DirectorBoard Member May 1, 2019
Socorro Gaeta Individual Corporate DirectorBoard Member Feb 18, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kern River Health CenterWofford Heights, CA, CCN 051838 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Greenfield Community Health CenterBakersfield, CA, CCN 751026 Federally qualified health center Operational/Managerial Control Jan 1, 1978
Gaston Middle School Health and Wellness CenterFresno, CA, CCN 921062 Federally qualified health center Operational/Managerial Control Aug 18, 2014
East Niles Community Health CenterBakersfield, CA, CCN 751142 Federally qualified health center Operational/Managerial Control Jan 1, 1978
Clinica Sierra VistaBakersfield, CA, CCN 751957 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaFresno, CA, CCN 921853 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaDelano, CA, CCN 921979 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaFresno, CA, CCN A01930 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1073515425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21810",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901810",
            "telephone_number": "661-635-3050",
            "fax_number": "661-732-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WIBLE RD STE 12&14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933044700",
            "telephone_number": "661-835-1240",
            "fax_number": "661-835-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SIERRA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MEAVE",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-635-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "120000565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bakersfield Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.