Organization Active NPI

Sierra Management Services Inc.

  • Physical Therapy Clinic/Center
  • Yuba City, CA
National Provider Identifier
1912069568
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SIERRA MANAGEMENT SERVICES INC.
Practice address
1110 Civic Center Blvd
# 502
Yuba City, CA 95993-3013
Phone
(530) 671-7977
Fax
(530) 671-6163
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Mrs. Siri Pritam Khalsa
Title
Cfo
Phone
(530) 671-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1110 Civic Center Blvd
# 502
Yuba City, CA 95993-3013

Mailing address

1110 Civic Center Blvd
# 502
Yuba City, CA 95993-3013
Phone (530) 671-7977

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ621752OtherCABLUE SHIELD NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050615001039 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628012150 Receives reassigned benefits from 3 practitioners
Practice locations: Grass Valley, CA; Yuba City, CA

National Provider Directory

National Provider Directory

Locations

271 S State Highway 65
Lincoln, CA 95648
Phone (916) 434-6200

1521 Starr Dr
Ste C
Yuba City, CA 95993
Phone (530) 671-7977

1110 Civic Center Blvd
Ste 502
Yuba City, CA 95993
Phone (530) 671-7770

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1912069568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CIVIC CENTER BLVD",
            "address_2": "# 502",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933013",
            "telephone_number": "530-671-7977",
            "fax_number": "530-671-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CIVIC CENTER BLVD",
            "address_2": "# 502",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933013",
            "telephone_number": "530-671-7977",
            "fax_number": "530-671-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MANAGEMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "SIRI PRITAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-671-7770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "ZZZ621752",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.