Organization Active NPI

Sierra Family Medical Group Corp

Doing business as Sierra Allergy Asthma and Sinus Center

  • Allergy & Immunology Physician
  • Fresno, CA
National Provider Identifier
1700647476
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
SIERRA FAMILY MEDICAL GROUP CORP
Doing business as
Sierra Allergy Asthma and Sinus Center
Practice address
5043 E Cesar Chavez Blvd
Suite 104
Fresno, CA 93727-3962
Phone
(559) 369-4421
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Muhammad Hassan BashirNPI 1053613711
Title
President
Phone
(559) 259-8788

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

5043 E Cesar Chavez Blvd
Suite 104
Fresno, CA 93727-3962

Mailing address

5043 E Cesar Chavez Blvd, Ste 104
Fresno, CA 93727-3962
Phone (559) 259-8788

Other practice location 1

105 W El Portal Dr Ste B
Merced, CA 95348-2858
Phone (209) 349-8526

Other names 1

  • Sierra Allergy Asthma and Sinus Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240608000001 CA Part B Supplier - Clinic/Group Practice 3274075098 Receives reassigned benefits from 2 practitioners
Practice locations: Fresno, CA; Merced, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1700647476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 E CESAR CHAVEZ BLVD, STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273962",
            "telephone_number": "559-259-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 E CESAR CHAVEZ BLVD",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273962",
            "telephone_number": "559-369-4421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W El Portal Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953482858",
            "country_code": "US",
            "telephone_number": "209-349-8526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA FAMILY MEDICAL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BASHIR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-259-8788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Allergy Asthma and Sinus Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.