| Sierra Medical Partnership | |
|
584 N Sunrise Ave Ste 100 Roseville CA 95661-2862 | |
| (916) 250-2596 | |
| Not Available |
| Full Name | Sierra Medical Partnership |
|---|---|
| Speciality | Clinic/Center |
| Location | 584 N Sunrise Ave Ste 100, Roseville, California |
| Authorized Official Name and Position | Elizabeth Scriven (CREDENTIALING) |
| Authorized Official Contact | 9166632100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Medical Partnership 1625 Creekside Dr Ste 202 Folsom CA 95630-3819 Ph: (166) 632-1009 | Sierra Medical Partnership 584 N Sunrise Ave Ste 100 Roseville CA 95661-2862 Ph: (916) 250-2596 |
| NPI Number | 1285340042 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 7810321858 |
|---|---|
| Medicare Enrollment ID | O20230809001659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285340042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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