Organization Active NPI

Sierra View Nephrology, Inc

  • Nephrology Physician
  • Porterville, CA
National Provider Identifier
1689888109
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C52775 Issued in CA
Legal business name
SIERRA VIEW NEPHROLOGY, INC
Practice address
557 W Morton Ave
Suite a
Porterville, CA 93257-3333
Phone
(559) 784-4925
Fax
(559) 784-4966
NPI assigned
May 10, 2007
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Nirupama Vemuri, MDNPI 1659303980
Title
Owner
Phone
(559) 784-4925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C52775 CA
Nephrology Physician 207RN0300X C52775 CA Primary

Addresses

Primary practice location

557 W Morton Ave
Suite a
Porterville, CA 93257-3333

Mailing address

557 W Morton Ave
Suite a
Porterville, CA 93257-3333
Phone (559) 784-4925

Other identifiers 2

IdentifierTypeStateIssuer
00C527750MedicaidCA
ZZZ50981ZOtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070904000353 CA Part B Supplier - Clinic/Group Practice 7315030582 Receives reassigned benefits from 1 practitioner
Practice locations: Porterville, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1070225Sierra View Nephrology Inc557 W Morton Ave Ste a, Porterville, CA 93257Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory

Locations

557 W Morton Ave
Unit A
Porterville, CA 93257
Phone (559) 784-4925

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1689888109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 W MORTON AVE",
            "address_2": "SUITE A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573333",
            "telephone_number": "559-784-4925",
            "fax_number": "559-784-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W MORTON AVE",
            "address_2": "SUITE A",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573333",
            "telephone_number": "559-784-4925",
            "fax_number": "559-784-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VIEW NEPHROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "VEMURI",
        "authorized_official_first_name": "NIRUPAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-784-4925",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52775",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C52775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C527750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ50981Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.