| Sierra Health Center | |
|
1801 Tully Rd Ste F Modesto CA 95350-2931 | |
| (209) 526-5770 | |
| (209) 544-1234 |
| Full Name | Sierra Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 Tully Rd Ste F, Modesto, California |
| Authorized Official Name and Position | Aneeta Kumar (MANAGER) |
| Authorized Official Contact | 2095265770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Health Center 1801 Tully Rd Ste F Modesto CA 95350-2931 Ph: (209) 526-5770 | Sierra Health Center 1801 Tully Rd Ste F Modesto CA 95350-2931 Ph: (209) 526-5770 |
| NPI Number | 1225164056 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961471982 |
|---|---|
| Medicare Enrollment ID | O20050502000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225164056 | NPI | - | NPPES |
| FNP336825 | Other | CA | DEE SCHLANDER, FNP |
| PA13310 | Other | CA | LOREN BAUMAN, PA |
| A31978 | Other | CA | MICHAEL BRODIE, MD |
| DO 20A6338 | Other | CA | LISA HUNT, DO |
| A17110 | Other | CA | SAMUEL CHAMPAIGN, MD |
| C41165 | Other | CA | SIVARAMA MADIREDDI, MD |
| 00A319780 | Medicaid | CA | |
| G28039 | Other | OH | PHILLIP KALMAN, MD |
| NP12281 | Other | CA | GLORIA BENNETT, NP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Primary |
| Provider Name | Vikram Khanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821071986 PECOS PAC ID: 7113987090 Enrollment ID: I20041014000898 |
| Provider Name | Edgar Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992857239 PECOS PAC ID: 0749243103 Enrollment ID: I20041105001029 |
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