Sierra Family Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SIERRA FAMILY PROFESSIONAL CORPORATION

Practice address

4297 N Sierra Way
San Bernardino, CA 92407-3820

Phone

(909) 300-0901

NPI assigned

Aug 7, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorina Castelo, MD

Title

President

Phone

(951) 245-0505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Rishi Majithia

  • Family Medicine Physician
  • Upland, CA
  • NPI 1285084137
  NPD (past)
• Aamir Raza, M.D.

  • Nephrology Physician
  • San Bernardino, CA
  • NPI 1578710158
  NPD (past)

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1861222382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4297 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073820",
            "telephone_number": "909-300-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4297 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924073820",
            "telephone_number": "909-300-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA FAMILY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "CASTELO",
        "authorized_official_first_name": "DORINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-245-0505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hateem Siddiqui
• Uzair Siddiqui, MD
• Raman Manohar Sidhar, M.D.
• Sidhu Chiropractic
• Pritpal S Sidhu, DC
• Sierra Gateway Dental Office
• Jeanne Marie Sierra, MFTI
• Jesse Eugene Sierra
• Vivian Sierra
• Pablo Eduardo Sigala-Casillas, MSW

• Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.