Sierra Nevada Primary Care in Grass Valley - Pediatrics

Sierra Nevada Primary Care - NPI 1699719419

Sierra Nevada Primary Care is a Pediatrics in Grass Valley, California. Sierra Nevada Primary Care practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sierra Nevada Primary Care is 1699719419. The last update date is 2007-12-12.

Sierra Nevada Primary Care's current location address is 140 Litton Dr Ste 110, Grass Valley, California. You can contact this provider via phone number 5302729770 and fax number 5302729796. The mailing address for Sierra Nevada Primary Care is 140 Litton Dr Ste 110, Grass Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Sierra Nevada Primary Care
Address 140 Litton Dr Ste 110, Grass Valley, California
Phone Number 5302729770
Fax Number 5302729796
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT,
Authorized Official Name Wagner E Douglas
Credentials M.D.
Telephone Number 5302729791

NPI Number Detail

NPI Number 1699719419
Provider Enumeration Date 2006-06-15
Last Updated Date 2007-12-12

Provider Mailing Address Detail

Address 140 Litton Dr Ste 110
City Grass Valley
State California (CA)
Post Code 959455078
Phone Number 5302729770
Fax Number 5302729796

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G61414
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Sierra Nevada Primary Care

What is the unique 10-digit identifier code assigned to Sierra Nevada Primary Care by the Centers for Medicare & Medicaid Services?

The Sierra Nevada Primary Care has been issued the NPI (National Provider Identifier) 1699719419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Sierra Nevada Primary Care's facilities are situated?

The facilities of Sierra Nevada Primary Care are physically located at the following address: 140 Litton Dr Ste 110, Grass Valley, CA, 959455078.

What is the area of specialization for Sierra Nevada Primary Care, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sierra Nevada Primary Care is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date was the 1699719419 assigned to Sierra Nevada Primary Care?

The Sierra Nevada Primary Care was issued its 1699719419 on 2006-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Sierra Nevada Primary Care most recently updated or revised?

The details related to Sierra Nevada Primary Care, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-12.

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