Sierra Multisurgical Assoc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

SIERRA MULTISURGICAL ASSOC

Practice address

5635 Stratford Cir
Suite B27
Stockton, CA 95207-5055

Phone

(209) 954-4121

NPI assigned

Apr 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Chris Bendlin

Title

Manager

Phone

(209) 954-4121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942473459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 STRATFORD CIR",
            "address_2": "SUITE B27",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075055",
            "telephone_number": "209-954-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 STRATFORD CIR",
            "address_2": "SUITE B27",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075055",
            "telephone_number": "209-954-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA MULTISURGICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BENDLIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "209-954-4121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Stockton, CA
• Providers in Stockton, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.