Sierra-Pacific Technology, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

54805 Issued in CA

Legal business name

SIERRA-PACIFIC TECHNOLOGY, INC.

Doing business as

Sierra-Pacific Health Supply

Practice address

4873 West LN
Suite C
Stockton, CA 95210-4548

Phone

(209) 472-1136

Fax

(209) 472-1138

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ukpong Uweh

Title

President

Phone

(209) 472-1136

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sierra-Pacific Health Supply Doing business as

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1407163710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 77843",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952671143",
            "telephone_number": "209-472-1136",
            "fax_number": "209-472-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 WEST LN",
            "address_2": "SUITE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104548",
            "telephone_number": "209-472-1136",
            "fax_number": "209-472-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA-PACIFIC TECHNOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "UWEH",
        "authorized_official_first_name": "UKPONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-472-1136",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "54805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02917F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra-Pacific Health Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ra Sieng
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• Maria del Rosario Sierra Suarez
• Sierra Valley Lung & Sleep Medical Group Inc
• Aryanna Elizabeth Sierra
• Diana Sierra
• Juan Angel Sierra
• Morgan Ann Sievers
• Brianna Sifuentes

• Parenteral & Enteral Nutrition Supplies (DME) in Stockton, CA
• Providers in Stockton, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.