Organization Active NPI

Sierra View Family Clinic Inc

  • Family Medicine Physician
  • Selma, CA
National Provider Identifier
1073764254
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89926 Issued in CA
Legal business name
SIERRA VIEW FAMILY CLINIC INC
Practice address
1237 Rose Ave
Selma, CA 93662-3227
Phone
(559) 898-0935
Fax
(559) 898-0939
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Humberto Jesus Villalvazo, MDNPI 1902994551
Title
President MD
Phone
(559) 898-0935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A89926 CA Primary

Addresses

Primary practice location

1237 Rose Ave
Selma, CA 93662-3227

Mailing address

PO Box 450
Hanford, CA 93232-0450
Phone (559) 898-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081209000463 CA Part B Supplier - Clinic/Group Practice 3779644737 Receives reassigned benefits from 1 practitioner
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Locations

440 Greenfield Ave
Ste A
Hanford, CA 93230
Phone (559) 584-1332

1237 Rose Ave
Selma, CA 93662
Phone (209) 896-5544

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1073764254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932320450",
            "telephone_number": "559-898-0935",
            "fax_number": "559-898-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623227",
            "telephone_number": "559-898-0935",
            "fax_number": "559-898-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VIEW FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "VILLALVAZO",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT MD",
        "authorized_official_telephone_number": "559-898-0935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.