Organization Active NPI

Sierra Mountain Medical Group

  • Cardiovascular Disease Physician
  • Truckee, CA
National Provider Identifier
1770728677
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C386870 Issued in CA
Legal business name
SIERRA MOUNTAIN MEDICAL GROUP
Practice address
10978 Donner Pass Rd
Truckee, CA 96161-0433
Phone
(530) 582-1212
Fax
(530) 587-4278
NPI assigned
Dec 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. J Timothy Lombard, M.D.
Title
Physician
Phone
(530) 582-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X C386870 CA Primary

Addresses

Primary practice location

10978 Donner Pass Rd
Truckee, CA 96161-0433

Mailing address

10978 Donner Pass Rd
Truckee, CA 96161-0433
Phone (530) 582-1212

Other identifiers 1

IdentifierTypeStateIssuer
C386870OtherMEDICAL LICENSE NUMBER

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Mountain Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770728677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "530-582-1212",
            "fax_number": "530-587-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "530-582-1212",
            "fax_number": "530-587-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MOUNTAIN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LOMBARD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "530-582-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C386870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "C386870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.