NPIMap

Organization Active NPI

Western Sierra Medical Clinic, Inc.

  • Urgent Care Clinic/Center
  • Downieville, CA
National Provider Identifier
1851513469
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
230000145 Issued in CA
Legal business name
WESTERN SIERRA MEDICAL CLINIC, INC.
Practice address
209 Nevada Street
Downieville, CA 95936-0286
Phone
(530) 289-3298
Fax
(530) 289-3159
NPI assigned
May 3, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Dr. Francine Novak
Title
Pdo
Phone
(530) 802-2706

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Urgent Care Clinic/Center 261QU0200X 230000145 CA Primary

Addresses

Primary practice location

209 Nevada Street
Downieville, CA 95936-0286

Mailing address

844 Old Tunnel Rd
Grass Valley, CA 95945-8524
Phone (530) 289-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20040923000686 CA Part B Supplier - Clinic/Group Practice 3971571217 Receives reassigned benefits from 58 practitioners
1 other NPI on this enrollment
Practice locations: Auburn, CA; Downieville, CA; Grass Valley, CA; Kings Beach, CA; Penn Valley, CA
O20091221000137 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Downieville, CA
O20161018001783 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Penn Valley, CA
O20210728001908 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Grass Valley, CA
O20240102000808 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Auburn, CA
O20240102001000 CA Part A Provider - Federally Qualified Health Center (FQHC) 3971571217 Practice locations: Auburn, CA

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1851513469. Details of each certification follow.

Federally qualified health center certification: CCN 051895

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Doing business as
WESTERN SIERRA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 1, 1993
Last certification
Jul 1, 1993
Ownership / control type
For profit – corporation
Most recent change of ownership
Jun 30, 2010 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1976 in CA
Enrollment address
209 Nevada St
Downieville, CA 95936-0286

Federally qualified health center certification: CCN 921083

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 30, 2016
Last certification
Sep 30, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1976 in CA
Enrollment address
10544 Spenceville Rd
Penn Valley, CA 95946-9623

Federally qualified health center certification: CCN 921988

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2021
Last certification
Jul 28, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1975 in CA
Enrollment address
150 Glasson Way
Grass Valley, CA 95945-5706

Federally qualified health center certification: CCN A01825

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Doing business as
WESTERN SIERRA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2023
Last certification
Dec 14, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1975 in CA
Enrollment address
3257 Professional Dr
Ste C
Auburn, CA 95602-2460

Federally qualified health center certification: CCN A01826

Legal name
WESTERN SIERRA MEDICAL CLINIC INC
Doing business as
WESTERN SIERRA MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2023
Last certification
Dec 14, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1975 in CA
Enrollment address
11720 Education St
Ste 3
Auburn, CA 95602-2419

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

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
05D0617228Western Sierra Medical Clinic209 Nevada St, Downieville, CA 95936Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

11720 Education St
Ste 3
Auburn, CA 95602
Phone (530) 537-3000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Lupe R Peterson Individual Corporate OfficerBoard Member Jan 1, 2010
Peter Scott Browne Individual Corporate OfficerBoard Member Chair Jan 1, 2010
Corporate OfficerBoard Member President Jan 1, 2010
Corporate OfficerBoard Member Dec 19, 2009
Donald S Russell Individual Corporate OfficerBoard Member Apr 27, 2011
Corporate Officer Apr 27, 2011
Brandon Pangman Individual Corporate OfficerBoard Member Treasurer Jan 1, 2010
Corporate OfficerBoard Member Jan 1, 2010
Jessica Lance Individual Corporate OfficerChief Financial Officer Apr 1, 2020
W-2 Managing Employee Apr 1, 2020
Contracted Managing EmployeeAd; Mar 1, 2022
5% Or Greater Indirect Ownership Interest Mar 1, 2022
Corporate Officer Apr 1, 2020
Derek M Williams Individual Corporate OfficerBoard Member Secretary Jul 27, 2011
Corporate OfficerBoard Member Jul 27, 2011
Anita Daniels Individual Corporate OfficerBoard Member Vice Chair Jan 1, 2010
Corporate OfficerBoard Member Dec 19, 2009
Corporate Officer Dec 19, 2009
Jonathan E Peck Individual Corporate OfficerBoard Member May 23, 2012
Jennifer Malone Individual Corporate OfficerCeo Jul 13, 2020
W-2 Managing EmployeeAd; Jul 13, 2020 100%
Corporate OfficerCeo Apr 1, 2020
Francine Novak Individual Operational/Managerial Control Apr 1, 2021
Noel Chapman Individual W-2 Managing EmployeeRevenue Cycle Coordinator Nov 29, 2016

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1851513469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OLD TUNNEL RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458524",
            "telephone_number": "530-289-3298",
            "fax_number": "530-289-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NEVADA STREET",
            "city": "DOWNIEVILLE",
            "state": "CA",
            "postal_code": "959360286",
            "telephone_number": "530-289-3298",
            "fax_number": "530-289-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SIERRA MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "PDO",
        "authorized_official_telephone_number": "530-802-2706",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "230000145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downieville, CA

Sources for this page

Verify at the official NPI Registry.