Sierra Doctors Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CO33573 Issued in CA

Legal business name

SIERRA DOCTORS MEDICAL GROUP INC

Practice address

275 Grass Valley Hwy
Auburn, CA 95603-4533

Phone

(530) 885-0344

Fax

(530) 885-8967

NPI assigned

Sep 6, 2006

Last updated

Jan 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry John Boeye, M.D.

Title

President

Phone

(530) 885-0344

Specialties & licenses 2

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2545/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1669575841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034533",
            "telephone_number": "530-885-0344",
            "fax_number": "530-885-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 GRASS VALLEY HWY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034533",
            "telephone_number": "530-885-0344",
            "fax_number": "530-885-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DOCTORS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "BOEYE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-885-0344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C033573",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "CO33573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoe Fix and Pedorthic Care
• Amy Lynn Shriver
• Samara F Shulman, PHARM. D, RPH
• Siena Care Center, LLC (Kindred Transitional Care and Rehabilitation - Siena)
• Sierra Council on Alcoholism & Drug Dependence
• Sierra Foothills AIDS Foundation
• Sierra Foothills Surgical Specialists Inc
• Sierra Forever Families
• Sierra Forever Families
• Sierra Hills Individual & Family Therapy

• Family Medicine Physician in Auburn, CA
• Providers in Auburn, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.