NPIMap

Organization Active NPI

Western Sierra Medical Clinic, Inc.

Doing business as Sierra Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Nevada City, CA
National Provider Identifier
1427827161
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
Sierra Family Health Center
Practice address
103 Providence Mine Rd Ste 101
Nevada City, CA 95959-2949
Phone
(530) 292-3478
Fax
(530) 292-4296
NPI assigned
Dec 21, 2023
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

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
Pdo
Phone
(530) 802-2706

Specialties & licenses 1

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

Addresses

Primary practice location

103 Providence Mine Rd Ste 101
Nevada City, CA 95959-2949

Mailing address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 292-3478

Other names 2

  • Sierra Family Health Center Doing business as
  • Sierra Family Medical Clinic Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090124000095 CA Part B Supplier - Clinic/Group Practice 8224192927 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Nevada City, CA; Oregon House, CA
O20250811001487 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Nevada City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427827161. Details of each certification follow.

Federally qualified health center certification: CCN A01802

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 31, 2023
Last certification
Aug 31, 2023
Ownership / control type
For profit – corporation
Most recent change of ownership
Apr 1, 2025 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
103 Providence Mine Rd
Nevada City, CA 95959-2941

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

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

Other organizations with this tax ID 13

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

View all 13

Locations

103 Providence Mine Rd
Ste 101
Nevada City, CA 95959
Phone (530) 265-2914

15301 Tyler Foote Rd
Nevada City, CA 95959
Phone (530) 292-3478

8676 Marysville Rd
Oregon House, CA 95962
Phone (530) 292-3478

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lupe R Peterson Individual Corporate Director Apr 1, 2025
Peter Scott Browne Individual Corporate Director Apr 1, 2025
Linda Greenlee Individual Corporate Director Apr 1, 2025
Robert L Oldham Individual Corporate Director Apr 1, 2025
Lisa Wilson Individual Corporate Director Apr 1, 2025
Donald S Russell Individual Corporate Director Apr 1, 2025
Robert Shapiro Individual Corporate Director Apr 1, 2025
Paulette Taylor Individual Corporate Director Apr 1, 2025
Brandon Pangman Individual Corporate Director Apr 1, 2025
Jennifer Malone Individual Corporate OfficerCeo Nov 1, 2024
Derek M Williams Individual Corporate Director Apr 1, 2025
Anita Daniels Individual Corporate Director Apr 1, 2025
Francine Novak Individual W-2 Managing Employee Apr 1, 2025

Change-of-ownership history 2

DateEventCounterparty
Apr 1, 2025 Change of OwnershipThis provider was the buyer Sierra Family Medical Clinic IncCCN A01802, CA, NPI 1427827161
Apr 1, 2025 Change of OwnershipThis provider was the seller Western Sierra Medical Clinic IncCCN A01802, CA, NPI 1427827161

Practitioners & affiliated clinicians

Practitioners 6

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1427827161",
    "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": "530-292-3478",
            "fax_number": "530-292-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROVIDENCE MINE RD STE 101",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592949",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "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": "PDO",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra Family Medical Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.