Sierra Stonegate

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

340099AP Issued in CA

Legal business name

SIERRA STONEGATE

Practice address

4140 Buchanan Dr
Fair Oaks, CA 95628-6104

Phone

(530) 354-0304

Fax

(916) 941-7498

NPI assigned

Oct 26, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Hill, ADMIN.NPI 1740411065

Title

President

Phone

(530) 354-0304

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Healthy Interventions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sierra Stonegate

  • Mental Health Counselor
  • Plumas Lake, CA
  • NPI 1336403708
  NPD tax ID

Practitioners 1

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

• Anthony Hill, PASTORAL COUNSELING

  • Marriage & Family Therapist
  • Roseville, CA
  • NPI 1740411065
  NPD (past) Authorized official

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1255667234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 BUCHANAN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286104",
            "telephone_number": "530-354-0304",
            "fax_number": "916-941-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 BUCHANAN DR",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286104",
            "telephone_number": "530-354-0304",
            "fax_number": "916-941-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA STONEGATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-354-0304",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMIN."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340099AP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG AND ALCOHOL PROGRAMS",
            "identifier": "340099AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL CARE FACILITY",
            "identifier": "340099AP",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF PAIN MANAGEMENT",
            "identifier": "113408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leannah Sheahan
• Shiva Salehi DDS a Dental Corp
• Whitney Shuman, PHD
• Sierra Health and Wellness Centers LLC (Recovery Happens Counseling Services)
• Sierra Infectious Diseases a Professional Medical Corporation
• Johnny Ray Sierra II
• Lorrick Jonathan Simon
• Robert A Simonson, D.C.
• Shaghayegh Simonyans
• Simson, Wynn and Williams (Welcome)

• Substance Abuse Rehabilitation Facility in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.