NPIMap

Organization Active NPI

Sierra Vista Child & Family Services

  • Community/Behavioral Health Agency
  • Oakdale, CA
National Provider Identifier
1770616575
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIERRA VISTA CHILD & FAMILY SERVICES
Practice address
145 N 2ND Ave Ste 10
Oakdale, CA 95361-3064
Phone
(209) 523-4573
NPI assigned
Mar 13, 2007
Last updated
Mar 19, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SIERRA VISTA CHILD & FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Stacey Bronken
Title
Quality Assurance Supervisor
Phone
(209) 523-4573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

145 N 2ND Ave Ste 10
Oakdale, CA 95361-3064

Mailing address

1400 K St Ste F
Modesto, CA 95354-1018
Phone (209) 523-4573

Other identifiers 1

IdentifierTypeStateIssuer
5015MedicaidCA

Other names 1

  • Sierra Vista - Oakdale Other name

National Provider Directory

National Provider Directory
Tax ID family
Stan Co Mentalhealth SV113 organizations share this tax ID, including this one
Part of
Stan Co Mentalhealth SV

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1400 K St
Ste F
Modesto, CA 95354

145 N 2nd Ave
Ste 10
Oakdale, CA 95361

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.

  • Isabel Brasil
    • Student in an Organized Health Care Education/Training Program
    • Merced, CA
    • NPI 1396971743
    NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1770616575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 K ST STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541018",
            "telephone_number": "209-523-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 2ND AVE STE 10",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613064",
            "telephone_number": "209-523-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA CHILD & FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA VISTA CHILD & FAMILY SERVICES",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BRONKEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "QUALITY ASSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "209-523-4573"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Vista - Oakdale",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.