Organization Active NPI

Sierra Tribal Consortium, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
National Provider Identifier
1588067912
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SIERRA TRIBAL CONSORTIUM, INC.
Practice address
610 W McKinley Ave
Fresno, CA 93728-1425
Phone
(559) 445-2691
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Ali Umar
Title
Executive Director
Phone
(559) 445-2691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

610 W McKinley Ave
Fresno, CA 93728-1425

Mailing address

610 W McKinley Ave
Fresno, CA 93728-1425
Phone (559) 445-2691

National Provider Directory

National Provider Directory

Locations

610 W McKinley Ave
Fresno, CA 93728
Phone (559) 445-2691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1588067912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281425",
            "telephone_number": "559-445-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281425",
            "telephone_number": "559-445-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA TRIBAL CONSORTIUM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "UMAR",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-445-2691"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.