NPIMap

Organization Active NPI

Sierra Joint Community College District

  • Student Health Clinic/Center
  • Rocklin, CA
National Provider Identifier
1669657219
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
444305 Issued in CA
Legal business name
SIERRA JOINT COMMUNITY COLLEGE DISTRICT
Practice address
5100 Sierra College Blvd
Rocklin, CA 95677-3855
Phone
(916) 660-7490
Fax
(916) 630-4545
NPI assigned
Jan 2, 2008
Organization subpart
Yes
Parent organization
SIERRA JOINT COMMUNITY COLLEGE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Wende D. Fortner, FNP
Title
Coordinator, Health Services
Phone
(916) 660-7491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Student Health Clinic/Center 261QS1000X 444305 CA Primary

Addresses

Primary practice location

5100 Sierra College Blvd
Rocklin, CA 95677-3855

Mailing address

5100 Sierra College Blvd, Health Services
Rocklin, CA 95677-3855
Phone (916) 660-7490

Other names 2

  • Health Center - Rocklin Campus Other name
  • Health Services - Rocklin Campus Other name

National Provider Directory

National Provider Directory
Tax ID family
Sierra Joint Community College District2 organizations share this tax ID, including this one
Part of
Sierra Joint Community College District

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5100 Sierra College Blvd
Rocklin, CA 95677
Phone (916) 660-7490

Practitioners & affiliated clinicians

Practitioners 3

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669657219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 SIERRA COLLEGE BLVD, HEALTH SERVICES",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773855",
            "telephone_number": "916-660-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SIERRA COLLEGE BLVD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773855",
            "telephone_number": "916-660-7490",
            "fax_number": "916-630-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA JOINT COMMUNITY COLLEGE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA JOINT COMMUNITY COLLEGE DISTRICT",
        "enumeration_date": "2008-01-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "WENDE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "COORDINATOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "916-660-7491",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "444305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Center - Rocklin Campus",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Health Services - Rocklin Campus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.