SIERRA CARE AT THE LAKE,LLC
NPI 1336799170
Skilled Nursing Facility in Clovis, CA

Active since September 13, 2019CLIA 05D2177089 · Waiver
648 W SIERRA AVE, CLOVIS, CA 93612(559) 325-6100(559) 553-8840 Get Directions Write a Review

NPPES record last updated: September 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sierra Care At The Lake,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIERRA CARE AT THE LAKE,LLC (NPI 1336799170), doing business as Sierra Care Clovis, is a healthcare organization registered as a skilled nursing facility in Clovis, California and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Gary Andrew Ponticiello, President, as its authorized official.

NPPES Registry Identity

NPI1336799170
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSIERRA CARE AT THE LAKE,LLC
Location Address648 W SIERRA AVEClovis, CA 93612-0151
Mailing Address648 W Sierra AveClovis, CA 93612-0151 · (559) 325-6100 · Fax (559) 553-8840
Fax(559) 553-8840
Organization SubpartNo
Authorized OfficialGary Andrew PonticielloPresident · (559) 539-2727
Enumeration DateSeptember 13, 2019
NPI 1336799170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedHospice, InpatientTaxonomy 315D00000X
648 W SIERRA AVE, Clovis, CA 93612

Other Names 1

Doing Business AsSierra Care Clovis

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2177089

Sierra Care At The Lake LLC Dba Sierra Care Clovis · Clovis, CA
Active · expires Jan 2, 2028
CLIA Number05D2177089
Laboratory TypeCongregate Living Health
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorShada Attraplsi
Laboratory Phone(866) 450-0777
Laboratory LocationSierra Care At The Lake LLC Dba Sierra Care Clovis648 W Sierra Ave, Clovis, CA 93612
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
648 W SIERRA AVE
CLOVIS, CA 93612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Care At The Lake,llc's NPI number?

The NPI number for Sierra Care At The Lake,llc is 1336799170. It was assigned to this organization in the NPPES registry on September 13, 2019. The provider is doing business as Sierra Care Clovis.

Where is Sierra Care At The Lake,llc located?

Sierra Care At The Lake,llc is located at 648 W Sierra Ave, Clovis, CA 93612. The listed phone number is (559) 325-6100.

What is Sierra Care At The Lake,llc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Sierra Care At The Lake,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2177089) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sierra Care At The Lake,llc was last updated on September 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.