NPIMap

Organization Active NPI

Sierra Imaging Associates Medical Group Professional Corporation

  • Radiology Clinic/Center
  • Clovis, CA
National Provider Identifier
1336165752
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SIERRA IMAGING ASSOCIATES MEDICAL GROUP PROFESSIONAL CORPORATION
Practice address
231 W Fir Ave
Clovis, CA 93611-0220
Phone
(559) 297-0300
Fax
(559) 323-5461
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Mark David Alson, M.D.
Title
President
Phone
(559) 297-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

231 W Fir Ave
Clovis, CA 93611-0220

Mailing address

231 W Fir Ave
Clovis, CA 93611-0220
Phone (559) 297-0300

Other identifiers 1

IdentifierTypeStateIssuer
DC8367OtherCARAILROAD MEDICARE ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1096022Sierra Medical Imaging231 W Fir Ave, Clovis, CA 93611Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1336165752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W FIR AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110220",
            "telephone_number": "559-297-0300",
            "fax_number": "559-323-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA IMAGING ASSOCIATES MEDICAL GROUP PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "ALSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-297-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "DC8367",
            "state": "CA"
        }
    ],
    "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 Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.