Organization Active NPI

Sierra Functional Medical PC

  • Physical Medicine & Rehabilitation Physician
  • Clovis, CA
National Provider Identifier
1255706289
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SIERRA FUNCTIONAL MEDICAL PC
Practice address
2181 Herndon Ave Ste 103
Clovis, CA 93611-6309
Phone
(559) 297-0030
Fax
(559) 297-7888
NPI assigned
Dec 2, 2015
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Jose U Zamora II, MD
Title
Owner
Phone
(559) 297-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2181 Herndon Ave Ste 103
Clovis, CA 93611-6309

Mailing address

2147 Herndon Ave Ste 104
Clovis, CA 93611-6305
Phone (559) 297-0030

National Provider Directory

National Provider Directory

Locations

2147 Herndon Ave
Ste 104
Clovis, CA 93611
Phone (559) 297-0030

2181 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 297-0030

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1255706289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 HERNDON AVE STE 104",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116305",
            "telephone_number": "559-297-0030",
            "fax_number": "559-297-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 HERNDON AVE STE 103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116309",
            "telephone_number": "559-297-0030",
            "fax_number": "559-297-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA FUNCTIONAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-297-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.