NPIMap

Organization Active NPI

Sierra Medical Partnership

  • Surgery Physician
  • Folsom, CA
National Provider Identifier
1568015808
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SIERRA MEDICAL PARTNERSHIP
Practice address
1625 Creekside Dr Ste 200
Folsom, CA 95630-3819
Phone
(916) 365-2987
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Dr. Kyle McClintock, DONPI 1477831527
Title
General Partner
Phone
(916) 663-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1625 Creekside Dr Ste 200
Folsom, CA 95630-3819

Mailing address

1625 Creekside Dr Ste 202
Folsom, CA 95630-3819
Phone (916) 663-2100

Other practice location 1

584 N Sunrise Ave Ste 140
Roseville, CA 95661-2862
Phone (916) 365-2987

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@sierramanagementgroup.com Direct
Direct Messaging Address credentialing@sierramanagement.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191227000310 CA Part B Supplier - Clinic/Group Practice 7810321858 Receives reassigned benefits from 21 practitioners
Practice locations: Roseville, CA; Sacramento, CA; Folsom, CA; Auburn, CA; El Dorado Hills, CA
O20230531003099 CA DME Supplier - Physician - NeurosurgeryDME Supplier - Physician - General Surgery 7810321858 Practice locations: Folsom, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

6620 Coyle Ave
Ste 408
Carmichael, CA 95608
Phone (916) 250-2596

1625 Creekside Dr
Ste 202
Folsom, CA 95630

2001 Rattlesnake Rd
Newcastle, CA 95658
Phone (916) 663-2100

584 N Sunrise Ave
Ste 140
Roseville, CA 95661
Phone (916) 250-2596

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1568015808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 CREEKSIDE DR STE 202",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303819",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 CREEKSIDE DR STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303819",
            "telephone_number": "916-365-2987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 N Sunrise Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612862",
            "country_code": "US",
            "telephone_number": "916-365-2987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA MEDICAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "MCCLINTOCK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "916-663-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@sierramanagementgroup.com",
            "affiliation": "N",
            "endpointDescription": "e mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e mail",
            "address_1": "584 N Sunrise Ave Ste 100",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956612862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@sierramanagement.com",
            "affiliation": "N",
            "endpointDescription": "protected server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "584 N Sunrise Ave Ste 100",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956612862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.