| Clinica Sierra Vista | |
| 
					704 Lebec Rd Lebec CA 93243  | |
| (661) 248-5250 | |
| (661) 248-5279 | 
| Full Name | Clinica Sierra Vista | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 704 Lebec Rd, Lebec, California | 
| Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) | 
| Authorized Official Contact | 6616353050 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Clinica Sierra Vista Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050  | Clinica Sierra Vista 704 Lebec Rd Lebec CA 93243 Ph: (661) 248-5250  | 
| NPI Number | 1457353831 | 
|---|---|
| Provider Enumeration Date | 08/15/2005 | 
| Last Update Date | 04/17/2025 | 
| Medicare PECOS PAC ID | 3870407505 | 
|---|---|
| Medicare Enrollment ID | O20100612000068 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457353831 | NPI | - | NPPES | 
| ZZZ65152Z | Other | CA | BLUE SHIELD PIN | 
| 12040F | Medicaid | CA | |
| BCP12040F | Other | CA | CDP | 
| HAP12040F | Other | CA | FAMILY PACT | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000199 (California) | Primary |