Organization Active NPI

Sierra Pacific Neurosurgical Associates, a Professional Medical Corp

  • Neurological Surgery Physician
  • Fresno, CA
National Provider Identifier
1336500438
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G86263 Issued in CA
Legal business name
SIERRA PACIFIC NEUROSURGICAL ASSOCIATES, A PROFESSIONAL MEDICAL CORP
Practice address
7255 N Cedar Ave Ste 102
Fresno, CA 93720-3831
Phone
(559) 525-9088
Fax
(559) 478-4463
NPI assigned
Mar 16, 2016
Last updated
Jul 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Victor L. Perry, MDNPI 1144276288
Title
President/Ceo
Phone
(559) 525-9088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G86263 CA Primary

Addresses

Primary practice location

7255 N Cedar Ave Ste 102
Fresno, CA 93720-3831

Mailing address

7255 N Cedar Ave Ste 102
Fresno, CA 93720-3831
Phone (559) 525-9088

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1336500438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203831",
            "telephone_number": "559-525-9088",
            "fax_number": "559-478-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203831",
            "telephone_number": "559-525-9088",
            "fax_number": "559-478-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PACIFIC NEUROSURGICAL ASSOCIATES, A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-525-9088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G86263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.