NPIMap

Organization Active NPI

Sierra Pacific Orthopaedic Center Medical Group Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1669967311
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC
Practice address
1270 E. Spruce
Fresno, CA 93720
Phone
(559) 256-5200
NPI assigned
Jun 26, 2018
Last updated
Oct 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Jeremy Ealand
Title
Coo
Phone
(559) 256-5317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1270 E. Spruce
Fresno, CA 93720

Mailing address

1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 256-5200

National Provider Directory

National Provider Directory
Part of
Sierra Pacific Orthopae

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1669967311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203391",
            "telephone_number": "559-256-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E. SPRUCE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-256-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "EALAND",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "559-256-5317"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 Oct 12, 2018; 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.