Individual provider Active NPI

Sierra Ervin

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1275423717
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7955 Magnolia Ave Apt 1E
Riverside, CA 92504-3402
Phone
(805) 464-1039
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

7955 Magnolia Ave Apt 1E
Riverside, CA 92504-3402

Mailing address

7955 Magnolia Ave Apt 1E
Riverside, CA 92504-3402
Phone (805) 464-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202002599 CA Practitioner - Physician Assistant 9931692696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2241 Nightshade LN
Santa Maria, CA 93455-1383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Valley Health CurrentSince Nov 4, 2025 Accepting new patients
Blythe Oasis Community Inc PastSince Sep 28, 2025 Accepting new patients

Locations

321 W Hobsonway
Blythe, CA 92225
Phone (760) 350-2498

195 W Highway 246
Buellton, CA 93427
Phone (805) 686-8555

35280 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 350-2498

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1275423717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 MAGNOLIA AVE APT 1E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043402",
            "telephone_number": "805-464-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 MAGNOLIA AVE APT 1E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043402",
            "telephone_number": "805-464-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "SIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.