Active NPI
Sierra Foothills Surgical Specialists Inc
- Medical-Surgical Clinical Nurse Specialist
- Auburn, CA
National Provider Identifier
1568536191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 14936
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0091920 | Other | MEDICAL |
National Provider Directory
National Provider DirectoryNPI 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
- Samara F Shulman, PHARM. D, RPH
- Siena Care Center, LLC (Kindred Transitional Care and Rehabilitation - Siena)
- Sierra Council on Alcoholism & Drug Dependence
- Sierra Doctors Medical Group Inc
- Sierra Foothills AIDS Foundation
- Sierra Forever Families
- Sierra Forever Families
- Sierra Hills Individual & Family Therapy
- Sierra Medical Partnership
- Sierra Mental Wellness Group
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.