Individual provider Active NPI

Sarwat Jehan Sipra

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1407495849
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95074641 Issued in CA
Practice address
1350 S Orange Ave
Fresno, CA 93702-3463
Phone
(594) 575-4005
Fax
(559) 457-5490
NPI assigned
Jan 2, 2020
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95074641 CA Primary

Addresses

Primary practice location

1350 S Orange Ave
Fresno, CA 93702-3463

Mailing address

1350 S Orange Ave
Fresno, CA 93702-3463
Phone (594) 575-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003000610 CA Practitioner - Nurse Practitioner 7012317613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Practice addresses (Care Compare)

1350 S Orange Ave
Fresno, CA 93702-3463
Phone (559) 457-5400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jul 26, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Jul 26, 2023 Accepting new patients
Clinica Sierra Vista Current Accepting new patients

Locations

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1407495849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ORANGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023463",
            "telephone_number": "594-575-4005",
            "fax_number": "559-457-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ORANGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023463",
            "telephone_number": "594-575-4005",
            "fax_number": "559-457-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPRA",
        "first_name": "SARWAT",
        "middle_name": "JEHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95074641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.