Sienna Wellnes Walk-in Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A7951 Issued in CA

Legal business name

SIENNA WELLNES WALK-IN CLINIC

Practice address

6425 Lynch Canyon Dr
Lake Isabella, CA 93240-9726

Phone

(760) 379-8630

Fax

(760) 379-7658

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Lee Gross, DO

Title

President

Phone

(760) 379-8630

Specialties & licenses 1

Addresses

Other names 1

• Sienna Medical Billing Incorporated Former legal business name

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1336489376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630",
            "fax_number": "760-379-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 LYNCH CANYON DR",
            "city": "LAKE ISABELLA",
            "state": "CA",
            "postal_code": "932409726",
            "telephone_number": "760-379-8630",
            "fax_number": "760-379-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIENNA WELLNES WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-379-8630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A7951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sienna Medical Billing Incorporated",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kailyn Sanders
• Sonia Carao Sawal, M.D.
• Sienna Hospitalist Group Incorporated
• Sienna Medical Corporation
• Sienna Podiatry PC
• Bridget Ann Simpson
• Kent Edward Skogerson, MD
• Lisa Ann Smith
• Holly Spohn-Gross, DPM
• Lisa Mae Stephens, ASW

• Primary Care Clinic/Center in Lake Isabella, CA
• Providers in Lake Isabella, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.