SIERRA HILLS WOMEN'S CENTER AND ADVANCED GYNECOLOGY
NPI 1629896766
Obstetrics & Gynecology in Placerville, CA

Active since September 27, 2024
4641 MISSOURI FLAT RD, PLACERVILLE, CA 95667(612) 600-5366 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sierra Hills Women's Center And Advanced Gynecology NPPES

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

SIERRA HILLS WOMEN'S CENTER AND ADVANCED GYNECOLOGY (NPI 1629896766) is a healthcare organization registered as an obstetrics & gynecology in Placerville, California and active in the NPI registry since September 2024. The organization lists Jennifer M. L. Boni, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629896766
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSIERRA HILLS WOMEN'S CENTER AND ADVANCED GYNECOLOGY
Location Address4641 MISSOURI FLAT RDPlacerville, CA 95667-6816
Mailing Address2001 Goldorado TrlEl Dorado, CA 95623-4521 · (612) 600-5366
Organization SubpartNo
Authorized OfficialJennifer M. L. BoniCeo · (612) 600-5366
Enumeration DateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
✔ NPI 1629896766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4641 MISSOURI FLAT RD, Placerville, CA 95667

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sierra Hills Women's Center And Advanced Gynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sierra Hills Women's Center And Advanced Gynecology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Obstetrics/Gynecology
NPI 1558570911
4212 MISSOURI FLAT RD
Placerville, CA 95667
(530) 621-7700
✔ PECOS✔ Accepts Medicare0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hills Women's Center And Advanced Gynecology's NPI number?

The NPI number for Sierra Hills Women's Center And Advanced Gynecology is 1629896766. It was assigned to this organization in the NPPES registry on September 27, 2024.

Where is Sierra Hills Women's Center And Advanced Gynecology located?

Sierra Hills Women's Center And Advanced Gynecology is located at 4641 Missouri Flat Rd, Placerville, CA 95667. The listed phone number is (612) 600-5366.

What is Sierra Hills Women's Center And Advanced Gynecology's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sierra Hills Women's Center And Advanced Gynecology enrolled in Medicare?

Yes. Sierra Hills Women's Center And Advanced Gynecology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sierra Hills Women's Center And Advanced Gynecology?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Sierra Hills Women's Center And Advanced Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sierra Hills Women's Center And Advanced Gynecology was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.