| Sierra Medicine, Inc. | |
|
5100 N 6th St Ste 157 Fresno CA 93710-7506 | |
| (559) 293-3155 | |
| (559) 293-3143 |
| Full Name | Sierra Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5100 N 6th St Ste 157, Fresno, California |
| Authorized Official Name and Position | Ara Karnik Soghomonian (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5592933155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Medicine, Inc. 5100 N 6th St Ste 157 Fresno CA 93710-7506 Ph: (559) 293-3155 | Sierra Medicine, Inc. 5100 N 6th St Ste 157 Fresno CA 93710-7506 Ph: (559) 293-3155 |
| NPI Number | 1497420848 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 1456723840 |
|---|---|
| Medicare Enrollment ID | O20230213001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497420848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ara K Soghomonian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447366018 PECOS PAC ID: 7315006517 Enrollment ID: I20081103000459 |
| Provider Name | Dennis M Redubla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053633206 PECOS PAC ID: 7719271105 Enrollment ID: I20160808001991 |
| Provider Name | Rachel Joy S Polines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265174122 PECOS PAC ID: 0749673663 Enrollment ID: I20231026001291 |
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