NPIMap

Organization Active NPI

Sierra Immediate Care Medical Center

  • Urgent Care Clinic/Center
  • Placerville, CA
National Provider Identifier
1871759431
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
FNP 31014 Issued in CA
Legal business name
SIERRA IMMEDIATE CARE MEDICAL CENTER
Practice address
1000 Fowler Way
Suite #7
Placerville, CA 95667-5738
Phone
(530) 295-1074
Fax
(530) 295-0328
NPI assigned
Aug 4, 2008
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Paul B Sobelman, M.D.NPI 1427052257
Title
Owner
Phone
(530) 295-1074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FNP 31014 CA Primary

Addresses

Primary practice location

1000 Fowler Way
Suite #7
Placerville, CA 95667-5738

Mailing address

1000 Fowler Way
Suite #7
Placerville, CA 95667-5738
Phone (530) 295-1074

Other identifiers 1

IdentifierTypeStateIssuer
00G392741MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Sierra Foothill Family Medical Associates2 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1871759431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE #7",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-295-1074",
            "fax_number": "530-295-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE #7",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-295-1074",
            "fax_number": "530-295-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA IMMEDIATE CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "SOBELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-295-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "FNP 31014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G392741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.