Organization Active NPI

Sierra Foothills Surgical Specialists Inc

  • Medical-Surgical Clinical Nurse Specialist
  • Auburn, CA
National Provider Identifier
1568536191
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
14936 Issued in CA
Legal business name
SIERRA FOOTHILLS SURGICAL SPECIALISTS INC
Practice address
3257 Professional Drive
Suite E
Auburn, CA 95602
Phone
(530) 823-0701
Fax
(530) 823-0737
NPI assigned
Nov 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jeffrey R Jenkins, MD
Title
MD
Phone
(530) 823-0701

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 14936 CA Primary
Surgery Physician 208600000X A49907 CA
Surgery Physician 208600000X G83638 CA
Surgery Physician 208600000X G84850 CA

Addresses

Primary practice location

3257 Professional Drive
Suite E
Auburn, CA 95602

Mailing address

3257 Professional Drive
Suite E
Auburn, CA 95602
Phone (530) 823-0701

Other identifiers 1

IdentifierTypeStateIssuer
GR0091920OtherMEDICAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568536191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 PROFESSIONAL DRIVE",
            "address_2": "SUITE E",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-823-0701",
            "fax_number": "530-823-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 PROFESSIONAL DRIVE",
            "address_2": "SUITE E",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-823-0701",
            "fax_number": "530-823-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA FOOTHILLS SURGICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "530-823-0701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "CA",
            "license": "14936",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A49907",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G83638",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G84850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "GR0091920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.