| Sierra View Nephrology, Inc | |
|
557 W Morton Ave Suite A Porterville CA 93257-3333 | |
| (559) 784-4925 | |
| (559) 784-4966 |
| Full Name | Sierra View Nephrology, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 557 W Morton Ave, Porterville, California |
| Authorized Official Name and Position | Nirupama Vemuri (OWNER) |
| Authorized Official Contact | 5597844925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra View Nephrology, Inc 557 W Morton Ave Suite A Porterville CA 93257-3333 Ph: (559) 784-4925 | Sierra View Nephrology, Inc 557 W Morton Ave Suite A Porterville CA 93257-3333 Ph: (559) 784-4925 |
| NPI Number | 1689888109 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 09/11/2012 |
| Medicare PECOS PAC ID | 7315030582 |
|---|---|
| Medicare Enrollment ID | O20070904000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689888109 | NPI | - | NPPES |
| 00C527750 | Medicaid | CA | |
| ZZZ50981Z | Other | CA | BLUE SHIELD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C52775 (California) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | C52775 (California) | Primary |
| Provider Name | Nirupama Vemuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659303980 PECOS PAC ID: 3678550472 Enrollment ID: I20070904000370 |
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