Sierra Medicine, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SIERRA MEDICINE, INC.

Practice address

5100 N 6TH St Ste 157
Fresno, CA 93710-7506

Phone

(559) 293-3155

Fax

(559) 293-3143

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Tong Vang

Title

Office Manager

Phone

(559) 293-3155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Joy Polines

  • Primary Care Nurse Practitioner
  • Fresno, CA
  • NPI 1265174122
  Medicare reassignment NPD
• Dennis Malate Redubla

  • Family Nurse Practitioner
  • Clovis, CA
  • NPI 1053633206
  Medicare reassignment NPD
• Harpreet Kaur Sahota, FNP

  • Family Nurse Practitioner
  • Stockton, CA
  • NPI 1134371867
  Medicare reassignment NPD
• Ara Karnik Soghomonian, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1447366018
  Medicare reassignment NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1497420848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 157",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-293-3155",
            "fax_number": "559-293-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 157",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-293-3155",
            "fax_number": "559-293-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "TONG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-293-3155"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Meadows and Ascend Psychiatric Group Inc.
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Meadows Behavioral Health
• Sierra Meadows Senior Care, Inc.
• Sierra Pacific Neurosurgical Associates, a Professional Medical Corp
• Sierra Pacific Orthopaedic Center
• Sierra Pacific Orthopaedic Center Medical Group Inc
• Sierra Pacific Orthopaedic Center Medical Group, Inc.
• Sierra Pacific Orthopaedics Therapy

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.