| 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 |