Sierra Medical Partnership

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SIERRA MEDICAL PARTNERSHIP

Practice address

584 N Sunrise Ave Ste 140
Roseville, CA 95661-2862

Phone

(916) 663-2100

NPI assigned

Jun 16, 2023

Last updated

Jun 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Scriven

Title

Credentialing

Phone

(916) 663-2100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Sierra Medical Partnership

  • Surgery Physician
  • Folsom, CA
  • NPI 1568015808

  7810321858

  Same PAC ID

Tax ID family

Sierra Medical Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sierra Medical Partnership

  • Surgery Physician
  • El Dorado Hills, CA
  • NPI 1801502679
  NPD tax ID

Locations

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1477238681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 CREEKSIDE DR STE 202",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303819",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N SUNRISE AVE STE 140",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612862",
            "telephone_number": "916-663-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEDICAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SCRIVEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "916-663-2100"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Sieber
• Sierra Foothills Oral & Maxillofacial Surgery Group
• Sierra Health and Wellness Centers LLC
• Sierra Hills Care Center, Inc.
• Sierra Medical Partnership
• Sierra Mental Wellness Group
• Sierra Mental Wellness Group
• Sierra Mental Wellness Group
• Sierra Newt LLC.
• Sierra Oncology Rehabilitation

• Multi-Specialty Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.