NPIMap

Organization Active NPI

Clinca Sierra Vista

  • Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1497983373
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
CLINCA SIERRA VISTA
Practice address
815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365
Phone
(661) 322-3905
Fax
(661) 322-1370
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Stephen Shilling
Title
Chief Executive Officer
Phone
(661) 635-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

815 Dr Martin Luther King Jr Blvd
Bakersfield, CA 93307-1365

Mailing address

1430 Truxtun Ave Ste 400
Bakersfield, CA 93301-5220
Phone (661) 635-3050

National Provider Directory

National Provider Directory
Tax ID family
Clinica Sierra Vista92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1497983373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TRUXTUN AVE STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015220",
            "telephone_number": "661-635-3050",
            "fax_number": "661-869-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DR MARTIN LUTHER KING JR BLVD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933071365",
            "telephone_number": "661-322-3905",
            "fax_number": "661-322-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINCA SIERRA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "SHILLING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-635-3050"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.