| Sierra Family Health Center | |
|
15301 Tyler Foote Rd Nevada City CA 95959 | |
| (530) 292-3478 | |
| (530) 292-4296 |
| Full Name | Sierra Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 15301 Tyler Foote Rd, Nevada City, California |
| Authorized Official Name and Position | Jenny Lawson (COO) |
| Authorized Official Contact | 5302923478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Family Health Center 15301 Tyler Foote Rd Nevada City CA 95959 Ph: (530) 292-3478 | Sierra Family Health Center 15301 Tyler Foote Rd Nevada City CA 95959 Ph: (530) 292-3478 |
| NPI Number | 1316169618 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 8224192927 |
|---|---|
| Medicare Enrollment ID | O20090124000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316169618 | NPI | - | NPPES |
| EAP70780F | Other | CA | EAPC |
| FHC70780F | Medicaid | CA | |
| ZZZ42078Z | Other | CA | MEDICARE NHIC |
| ZZZ54742Z | Other | CA | BLUE SHIELD |
| BCP70780F | Other | CA | CDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Peter Vanhouten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841411758 PECOS PAC ID: 7810051919 Enrollment ID: I20090205000053 |
| Provider Name | Alexa Colgrove Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649326539 PECOS PAC ID: 7113231374 Enrollment ID: I20150731015349 |
| Provider Name | Laura L Lafevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336193879 PECOS PAC ID: 7012933401 Enrollment ID: I20190424003300 |
| Provider Name | Joshua David Lepore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922293497 PECOS PAC ID: 9032516216 Enrollment ID: I20210930002845 |
| Provider Name | Simone Vivian Glueck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851050512 PECOS PAC ID: 3476996042 Enrollment ID: I20240210000579 |
Sierra Family Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15301 Tyler Foote Rd, Nevada City, CA 95959 Phone: 530-292-3478 Fax: 530-292-4296 | |
Amethyst Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 590 Searls Ave, Suite A, Nevada City, CA 95959 Phone: 530-798-5003 Fax: 530-271-2338 | |
St Moritz Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Providence Mine Rd Ste 105, Nevada City, CA 95959 Phone: 530-264-7475 Fax: 916-318-6950 | |
Sierra Family Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Searls Ave, Nevada City, CA 95959 Phone: 530-292-3478 Fax: 530-292-4296 | |
Sierra Family Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Providence Mine Rd Ste 101, Nevada City, CA 95959 Phone: 530-292-3478 Fax: 530-292-4296 | |
Sierra Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Searls Ave Ste A, Nevada City, CA 95959 Phone: 530-292-3478 Fax: 530-292-4296 |