Sierra Adult Home

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

336409401 Issued in CA

Legal business name

SIERRA ADULT HOME

Practice address

9530 Garfield St
Riverside, CA 92503-3631

Phone

(951) 353-0423

NPI assigned

Aug 18, 2009

Last updated

Aug 18, 2009By 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

Hector Garza

Title

Co-Owner/ Licensee

Phone

(951) 353-0423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1548492929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11440 RANCHO POCONO DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 GARFIELD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033631",
            "telephone_number": "951-353-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ADULT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CO-OWNER/ LICENSEE",
        "authorized_official_telephone_number": "951-353-0423"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CA",
            "license": "336409401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Shujauddin Siddiqui, MD
• Ranjit Sidhu, PHARM.D.
• Raana Sidky
• Julie Naomi Siegel-Turner, MSW
• David Stuart Siegel, MD
• Jacqueline Jasmine Sierra de Paz
• Sierra Pine Guest Home Inc
• Alondra Sierra
• Daniela Sierra, BA
• Jessica Sierra

• Developmental Disabilities Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Developmental Disabilities Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.