Sierra Vista Hospital

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A905790 Issued in CA

Legal business name

SIERRA VISTA HOSPITAL

Practice address

8250 Calvine Rd
Ste C165
Sacramento, CA 95828

Phone

(916) 452-6682

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ananth Shanmugam

Title

Physician

Phone

(916) 452-6682

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548325004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 FULTON AVE",
            "address_2": "STE 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "916-452-6682",
            "fax_number": "916-452-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 CALVINE RD",
            "address_2": "STE C165",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95828",
            "telephone_number": "916-452-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAM",
        "authorized_official_first_name": "ANANTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-452-6682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A905790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A905790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Health and Wellness Centers (New Start Recovery Solutions)
• Sierra Health and Wellness Centers LLC (Recovery Happens Counseling Service)
• Sierra Health and Wellness Centers LLC
• Sierra Oaks Dental Group
• Sierra Treatment Center of Sacramento (Thrive Wellness Sacramento)
• Priscilla Sierra-Munoz
• Brittany Sierra
• Frank James Sierra Jr.
• Patricia Beatriz Sierra, MD
• Mykaela Sierras

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.