Organization Active NPI

Sierra Spine & Fitness LLC

  • Chiropractor
  • Nevada City, CA
National Provider Identifier
1336025022
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SIERRA SPINE & FITNESS LLC
Practice address
582 Searls Ave
Nevada City, CA 95959-3029
Phone
(530) 470-8500
Fax
(530) 470-8320
NPI assigned
Aug 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Craig Steven Roberts, DCNPI 1952336836
Title
Chiropractor/Owner
Phone
(530) 913-2919

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

582 Searls Ave
Nevada City, CA 95959-3029

Mailing address

582 Searls Ave
Nevada City, CA 95959-3029
Phone (530) 470-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212003387 CA Part B Supplier - Clinic/Group Practice 8527552850 Receives reassigned benefits from 1 practitioner
Practice locations: Nevada City, CA

National Provider Directory

National Provider Directory

Locations

582 Searls Ave
Nevada City, CA 95959
Phone (530) 470-0906

Practitioners & affiliated clinicians

Practitioners 2

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": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1336025022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593029",
            "telephone_number": "530-470-8500",
            "fax_number": "530-470-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 SEARLS AVE",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593029",
            "telephone_number": "530-470-8500",
            "fax_number": "530-470-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SPINE & FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "530-913-2919",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.