| Sierra Health Center | |
|
501 S Brookhurst Rd Fullerton CA 92833-3207 | |
| (714) 870-0717 | |
| (714) 870-5468 |
| Full Name | Sierra Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 501 S Brookhurst Rd, Fullerton, California |
| Authorized Official Name and Position | Luz B Alamares (BILLING COORDINATOR) |
| Authorized Official Contact | 7148700717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Health Center 501 S Brookhurst Rd Fullerton CA 92833-3207 Ph: (714) 870-0717 | Sierra Health Center 501 S Brookhurst Rd Fullerton CA 92833-3207 Ph: (714) 870-0717 |
| NPI Number | 1508977414 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/14/2011 |
| Medicare PECOS PAC ID | 2961471982 |
|---|---|
| Medicare Enrollment ID | O20040927001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508977414 | NPI | - | NPPES |
| CMM70069G | Medicaid | CA | |
| 00A786420 | Medicaid | CA | |
| CH05096 | Medicaid | CA | |
| 00A671101 | Medicaid | CA | |
| EAP70069G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 060000016 (California) | Primary |
| Provider Name | Edgar Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992857239 PECOS PAC ID: 0749243103 Enrollment ID: I20041105001029 |
| Provider Name | Diane Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700938941 PECOS PAC ID: 9234140088 Enrollment ID: I20060509000239 |
| Provider Name | Frances Abigail Malantic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780018960 PECOS PAC ID: 5799902383 Enrollment ID: I20140805001355 |
| Provider Name | Valerie Thi Van |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932585866 PECOS PAC ID: 7113235854 Enrollment ID: I20150930001383 |
| Provider Name | Victor J Pinedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306231576 PECOS PAC ID: 7315237369 Enrollment ID: I20160602001645 |
| Provider Name | Vivien T Thach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427416841 PECOS PAC ID: 6507156577 Enrollment ID: I20160602002269 |
| Provider Name | Marjolyne Sales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942661772 PECOS PAC ID: 2567736002 Enrollment ID: I20170921001222 |
| Provider Name | Jonathan Andrew Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720618010 PECOS PAC ID: 9234537176 Enrollment ID: I20211018002078 |
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