Sierra Pacific Surgical, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20A10739 Issued in CA

Legal business name

SIERRA PACIFIC SURGICAL, INC.

Practice address

584 N Sunrise Ave Ste 100
Roseville, CA 95661-2862

Phone

(916) 250-2596

Fax

(916) 550-5025

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

David Michael Skeehan, DO

Title

Owner

Phone

(916) 250-2596

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13768/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Samantha Shepherd, FNP-C

  • Family Nurse Practitioner
  • Folsom, CA
  • NPI 1871298174
  NPD

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1861867855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 RATTLESNAKE RD",
            "city": "NEWCASTLE",
            "state": "CA",
            "postal_code": "956589722",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 N SUNRISE AVE STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612862",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Creekside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303819",
            "country_code": "US",
            "telephone_number": "916-250-2596",
            "fax_number": "916-550-5025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6620 Coyle Ave",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956086333",
            "country_code": "US",
            "telephone_number": "916-663-2100",
            "fax_number": "916-663-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIERRA PACIFIC SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "SKEEHAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-250-2596",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A10739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Mental Wellness Group
• Sierra Mental Wellness Group
• Sierra Mental Wellness Group
• Sierra Newt LLC.
• Sierra Oncology Rehabilitation
• Sierra Pediatric Therapy Clinic
• Sierra Pregnancy & Health
• Sierra Rehabilitation Medical Associates Inc
• Sierra Rose Family Physicians Medical Group
• Sierra West Rcfe

• Surgery Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.