| Western Sierra Medical Clinic, Inc. | |
|
209 Nevada Street Downieville CA 95936-0286 | |
| (530) 289-3298 | |
| (530) 289-3159 |
| Full Name | Western Sierra Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 Nevada Street, Downieville, California |
| Authorized Official Name and Position | Francine Novak (PDO) |
| Authorized Official Contact | 5308022706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Sierra Medical Clinic, Inc. 844 Old Tunnel Rd Grass Valley CA 95945-8524 Ph: (530) 289-3298 | Western Sierra Medical Clinic, Inc. 209 Nevada Street Downieville CA 95936-0286 Ph: (530) 289-3298 |
| NPI Number | 1851513469 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 03/19/2026 |
| Medicare PECOS PAC ID | 3971571217 |
|---|---|
| Medicare Enrollment ID | O20040923000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851513469 | NPI | - | NPPES |
| FHC03800F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 230000145 (California) | Primary |
| Provider Name | Mehran Moussavian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689788234 PECOS PAC ID: 8022916782 Enrollment ID: I20031219000582 |
| Provider Name | Alan V Gruenefeldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780795930 PECOS PAC ID: 8921994146 Enrollment ID: I20040225000343 |
| Provider Name | Christopher G Genobaga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902826894 PECOS PAC ID: 3870483688 Enrollment ID: I20040316001415 |
| Provider Name | Susan Shapiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396769527 PECOS PAC ID: 0648215038 Enrollment ID: I20050627000356 |
| Provider Name | Joseph C Britton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902805831 PECOS PAC ID: 6709847437 Enrollment ID: I20080707000726 |
| Provider Name | Jay R Patt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871685941 PECOS PAC ID: 7810184579 Enrollment ID: I20101207000532 |
| Provider Name | Lora L Grutkowski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134280464 PECOS PAC ID: 3476732140 Enrollment ID: I20110126001160 |
| Provider Name | Natalia P Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811288129 PECOS PAC ID: 2769653567 Enrollment ID: I20110928000376 |
| Provider Name | Nancy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053341354 PECOS PAC ID: 7911154240 Enrollment ID: I20120821001100 |
| Provider Name | Sharon E Mc Intyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104892645 PECOS PAC ID: 3173623303 Enrollment ID: I20141114000494 |
| Provider Name | Laura Neimark-gizara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932359429 PECOS PAC ID: 5496906802 Enrollment ID: I20150923000651 |
| Provider Name | Juan Alberto Chavez |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1801071089 PECOS PAC ID: 4789975699 Enrollment ID: I20160623002611 |
| Provider Name | Michael Kemmer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790105336 PECOS PAC ID: 0244450955 Enrollment ID: I20170124000415 |
| Provider Name | Kerri Fjeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396141743 PECOS PAC ID: 6204151079 Enrollment ID: I20171017002492 |
| Provider Name | Joel Robert Eidelson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457768566 PECOS PAC ID: 0749540987 Enrollment ID: I20180207001601 |
| Provider Name | David Narita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548537723 PECOS PAC ID: 0446512115 Enrollment ID: I20180315001919 |
| Provider Name | Ramesh S Pundi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508099508 PECOS PAC ID: 0749327716 Enrollment ID: I20180410002616 |
| Provider Name | Tammy Hufton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881008639 PECOS PAC ID: 2769603109 Enrollment ID: I20180615002460 |
| Provider Name | Seson Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306378021 PECOS PAC ID: 1153675780 Enrollment ID: I20181116000930 |
| Provider Name | Bamidele A Olatunbosun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659682854 PECOS PAC ID: 3971898420 Enrollment ID: I20181212003053 |
| Provider Name | Andrea Rj Gekas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013571231 PECOS PAC ID: 6406187046 Enrollment ID: I20191011000770 |
| Provider Name | Jason Davis Mccraw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568904969 PECOS PAC ID: 3375824782 Enrollment ID: I20200115001379 |
| Provider Name | Faye Whiting Jensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497717912 PECOS PAC ID: 3476540550 Enrollment ID: I20200323002513 |
| Provider Name | Claudia V Canturin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851911002 PECOS PAC ID: 5092130815 Enrollment ID: I20200814001937 |
| Provider Name | Karen Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972139079 PECOS PAC ID: 1355767377 Enrollment ID: I20200824001152 |
| Provider Name | Rochelle Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093014888 PECOS PAC ID: 2567880156 Enrollment ID: I20200914002289 |
| Provider Name | Thomas A Jacobs |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730114067 PECOS PAC ID: 4981618865 Enrollment ID: I20201103003123 |
| Provider Name | Diana Elizabeth Petros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831703552 PECOS PAC ID: 6507271939 Enrollment ID: I20210217002519 |
| Provider Name | Jessica W Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116007 PECOS PAC ID: 7517181894 Enrollment ID: I20210520002431 |
| Provider Name | Jason Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114120474 PECOS PAC ID: 4082800867 Enrollment ID: I20210629001141 |
| Provider Name | Gianvieve L Schwirblat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568010312 PECOS PAC ID: 4183031792 Enrollment ID: I20220224002272 |
| Provider Name | Manpreet K Tung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558096818 PECOS PAC ID: 5496131252 Enrollment ID: I20220930001910 |
| Provider Name | Jessica Lee Lusignan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427793389 PECOS PAC ID: 6002285277 Enrollment ID: I20221209000955 |
| Provider Name | Luay Sarsam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558744953 PECOS PAC ID: 7113209552 Enrollment ID: I20230221001840 |
| Provider Name | Kelly Dianne Gallaugher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619200219 PECOS PAC ID: 7315302940 Enrollment ID: I20230503001619 |
| Provider Name | Lauren B Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821784976 PECOS PAC ID: 2062871643 Enrollment ID: I20230629001281 |
| Provider Name | Veronica Minier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720050909 PECOS PAC ID: 3779489869 Enrollment ID: I20230831000696 |
| Provider Name | Havilyn Michele Harrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316554306 PECOS PAC ID: 5799131835 Enrollment ID: I20231026001496 |
| Provider Name | Morgan Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386421709 PECOS PAC ID: 3173973864 Enrollment ID: I20231220003930 |
| Provider Name | John Francis Eby |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164542411 PECOS PAC ID: 0840640900 Enrollment ID: I20240102002047 |
| Provider Name | Matthew Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578875746 PECOS PAC ID: 6204076102 Enrollment ID: I20240201000637 |
| Provider Name | Nancy Madrigal Villalpando |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023885647 PECOS PAC ID: 8628411212 Enrollment ID: I20240212000514 |
| Provider Name | Daniel Brusser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720738966 PECOS PAC ID: 3072953801 Enrollment ID: I20240426002795 |
| Provider Name | Melissa Ann Gustafson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004133 PECOS PAC ID: 3072953553 Enrollment ID: I20240501001035 |
| Provider Name | Sara Rittenhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316588270 PECOS PAC ID: 6406282607 Enrollment ID: I20250129000605 |