Sierra Community Medical Foundation

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

SIERRA COMMUNITY MEDICAL FOUNDATION

Practice address

4420 Rocklin Rd Ste 5
Rocklin, CA 95677-2835

Phone

(916) 630-7030

Fax

(916) 630-7032

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Mr. William Quinn Gregory

Title

Executive Director

Phone

(916) 630-7030

Specialties & licenses 8

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1265194583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 ROCKLIN RD STE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772835",
            "telephone_number": "916-630-7030",
            "fax_number": "916-630-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 ROCKLIN RD STE 5",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772835",
            "telephone_number": "916-630-7030",
            "fax_number": "916-630-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA COMMUNITY MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-630-7030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rocklin",
            "affiliation": "N",
            "endpointDescription": "Office  Setting",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4420 Rocklin Rd Ste 5",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956772835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ella Shishkin
• Shiva Amin-Shinnette Psychological Services PC
• Aurora Grace Shriver
• Donal George Sibichen
• Kayleigh Siebels, OTR/L
• Sierra Joint Community College District
• Sierra Rheumatology Inc, a Professional Corporation
• Kristin Lynn Siles, LCSW
• Silver Moon Holdings, Inc.
• Selina Silvestre

• Health Educator in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.