Individual provider Active NPI

Melanie M. Sierra, CADC II-CS

  • Case Manager/Care Coordinator
  • Ventura, CA
National Provider Identifier
1548539794
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
AII053670318 Issued in CA
Practice address
800 S. Victoria Ave
L#4615
Ventura, CA 93009
Phone
(805) 339-1122
Fax
(805) 339-1128
NPI assigned
Dec 16, 2011
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CATC 112919 CA
Case Manager/Care Coordinator 171M00000X AII053670318 CA Primary

Addresses

Primary practice location

800 S. Victoria Ave
L#4615
Ventura, CA 93009

Mailing address

800 S. Victoria Ave
L#4615
Ventura, CA 93009
Phone (805) 339-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CATC 112919CAMDAddiction (Substance Use Disorder) Counselor
AII053670318CAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1548539794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S. VICTORIA AVE",
            "address_2": "L#4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93009",
            "telephone_number": "805-339-1122",
            "fax_number": "805-339-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S. VICTORIA AVE",
            "address_2": "L#4615",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93009",
            "telephone_number": "805-339-1122",
            "fax_number": "805-339-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "MELANIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "CADC II-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CATC 112919",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "AII053670318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.