NPIMap

Organization Active NPI

Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Fresno, CA
National Provider Identifier
1790100402
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CLINICA SIERRA VISTA
Practice address
1120 East Church Ave
Fresno, CA 93706-5435
Phone
(559) 457-6970
Fax
(559) 457-6995
NPI assigned
Mar 4, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Olga Meave, M.D.
Title
Chief Executive Officer
Phone
(661) 635-3050

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

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
05D2078262CSV (Dba) Gaston Middle School Health1120 E Church Ave, Fresno, CA 93706Certificate of waiverMay 22, 2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090304000620 CA Part B Supplier - Clinic/Group Practice 3870407505 Receives reassigned benefits from 149 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fresno, CA
O20141201001656 CA Part A Provider - Federally Qualified Health Center (FQHC) 3870407505 Practice locations: Fresno, CA

Federally qualified health center certification: CCN 921062

Legal name
CLINICA SIERRA VISTA
Doing business as
GASTON MIDDLE SCHOOL HEALTH AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 3, 2014
Last certification
Dec 3, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Dec 22, 1971 in CA
Enrollment address
1120 East Church Avenue
Fresno, CA 93706

All disclosed owners & managing parties 16

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Olga Meave Individual Corporate OfficerCeo Nov 1, 2022
Operational/Managerial ControlCeo Nov 1, 2022
Di Wu Individual Corporate DirectorBoard Member Aug 1, 2023
Mario a Valenzuela Individual Corporate DirectorBoard Member Jan 28, 2021
Brian S Conner Individual Corporate DirectorBoard Member Sep 1, 2023
Jordan Davis Individual Corporate DirectorBoard Member Nov 30, 2021
Jaberpreet Singh Individual Corporate DirectorBoard Member Nov 1, 2023
Enrique Sahagun Individual Corporate DirectorBoard Member Nov 30, 2021
Clinica Sierra Vista Organization, Bakersfield, CA Non-profit Operational/Managerial Control Aug 18, 2014
Amandeep Kaur Individual Corporate DirectorBoard Member Apr 25, 2024
Jose J Valdovinos Individual Corporate DirectorBoard Member Oct 1, 2017
Janie Yadon Ashley Individual Corporate DirectorBoard Member May 12, 2022
Michael Cosimano Individual Corporate DirectorBoard Member Aug 1, 2018
Kelly Jeannine Lutz Individual W-2 Managing EmployeeRevenue Cycle Director Aug 23, 2010
Harjeet Singh Sidhu Individual Corporate OfficerCfo Dec 1, 2024
Philipp R Melendez Individual Corporate DirectorBoard Member May 1, 2019
Socorro Gaeta Individual Corporate DirectorBoard Member Feb 18, 2013

All facility ownership & control disclosures 7

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kern River Health CenterWofford Heights, CA, CCN 051838 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Greenfield Community Health CenterBakersfield, CA, CCN 751026 Federally qualified health center Operational/Managerial Control Jan 1, 1978
East Niles Community Health CenterBakersfield, CA, CCN 751142 Federally qualified health center Operational/Managerial Control Jan 1, 1978
Clinica Sierra VistaBakersfield, CA, CCN 751957 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaFresno, CA, CCN 921853 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaDelano, CA, CCN 921979 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978
Clinica Sierra VistaFresno, CA, CCN A01930 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 1978

National Provider Directory

National Provider Directory
Tax ID family
Clinica Sierra Vista92 organizations share this tax ID, including this one

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

1510 N Lafayette Ave
Fresno, CA 93728
Phone (559) 457-6860

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1120 East Church Ave
Fresno, CA 93706-5435

Mailing address

PO Box 21810
Bakersfield, CA 93390-1810
Phone (661) 635-3050

Other names 1

NPPES NPI Registry
  • Gaston Middle School Health and Wellness Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2026.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1790100402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21810",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901810",
            "telephone_number": "661-635-3050",
            "fax_number": "661-732-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 EAST CHURCH AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-6970",
            "fax_number": "559-457-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA SIERRA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "MEAVE",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-635-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Middle School Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaston Middle School Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.