| Clinica Sierra Vista | |
|
67 Evans Rd Wofford Heights CA 93285-9640 | |
| (760) 376-2276 | |
| (760) 376-4801 |
| Full Name | Clinica Sierra Vista |
|---|---|
| Speciality | Clinic/Center |
| Location | 67 Evans Rd, Wofford Heights, 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 67 Evans Rd Wofford Heights CA 93285-9640 Ph: (760) 376-2276 |
| NPI Number | 1437151800 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 04/23/2025 |
| Medicare PECOS PAC ID | 3870407505 |
|---|---|
| Medicare Enrollment ID | O20100617000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437151800 | NPI | - | NPPES |
| BCP03896F | Other | CA | CDP |
| 03896F | Medicaid | CA | |
| HAP03896F | Other | CA | SOFP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 120000201 (California) | Primary |