NPIMap

Organization Active NPI

Western Sierra Medical Clinic, Inc.

Doing business as Western Sierra Medical Clinic - Penn Valley

  • Federally Qualified Health Center (FQHC)
  • Penn Valley, CA
National Provider Identifier
1356829576
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WESTERN SIERRA MEDICAL CLINIC, INC.
Doing business as
Western Sierra Medical Clinic - Penn Valley
Practice address
10544 Spenceville Rd
Penn Valley, CA 95946-9623
Phone
(530) 273-4984
Fax
(530) 273-4573
NPI assigned
Jul 31, 2018
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN SIERRA MEDICAL CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Francine Novak
Title
Planning and Development Officer
Phone
(530) 802-2706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

10544 Spenceville Rd
Penn Valley, CA 95946-9623

Mailing address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 273-4984

Other identifiers 1

IdentifierTypeStateIssuer
1851513469MedicaidCA

Other names 1

  • Western Sierra Medical Clinic - Penn Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western Sierra Health Clinic14 organizations share this tax ID, including this one
Part of
Western Sierra Health Clinic

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1356829576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-273-4984",
            "fax_number": "530-273-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10544 SPENCEVILLE RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469623",
            "telephone_number": "530-273-4984",
            "fax_number": "530-273-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA MEDICAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN SIERRA MEDICAL CLINIC, INC.",
        "enumeration_date": "2018-07-31",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "PLANNING AND DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "530-802-2706"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851513469",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Sierra Medical Clinic - Penn Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Sierra Medical Clinic - Penn Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penn Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.