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SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC
NPI 1669967311
Specialist in Fresno, CA

Active since June 26, 2018CLIA 05D2326912 · Certificate of Compliance
1270 E. SPRUCE, FRESNO, CA 93720(559) 256-5200 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 12, 2018, Jun 28, 2018 (2 updates tracked since 2018).

About Sierra Pacific Orthopaedic Center Medical Group Inc NPPES

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

SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC (NPI 1669967311) is a healthcare organization registered as a specialist in Fresno, California and active in the NPI registry since June 2018. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Jeremy Ealand, Coo, as its authorized official.

NPPES Registry Identity

NPI1669967311
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC
Location Address1270 E. SPRUCEFresno, CA 93720
Mailing Address1630 E Herndon AveFresno, CA 93720-3391 · (559) 256-5200
Phone(559) 256-5200
Organization SubpartYesParent: Sierra Pacific Orthopaedic Center Medical Group, Inc.
Authorized OfficialJeremy EalandCoo · (559) 256-5317
Enumeration DateJune 26, 2018
Last NPPES UpdateOctober 12, 20182 updates tracked since enumeration
✔ NPI 1669967311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1270 E. SPRUCE, Fresno, CA 93720
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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

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 Compliance 05D2326912

Sierra Pacific Orthopedic Center · Fresno, CA
Active · expires Jul 10, 2027
CLIA Number05D2326912
Laboratory TypeIndependent
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorMariam Molani
Laboratory Phone(559) 256-5317
Laboratory LocationSierra Pacific Orthopedic Center1630 E Herndon Ave Ste 303, Fresno, CA 93720
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions

What is SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP INC's NPI number?

The NPI number assigned to this healthcare provider is 1669967311, enumerated as an "organization" on June 26, 2018.

Where is the provider located?

The provider is located at 1270 E. SPRUCE FRESNO, CA 93720 and the phone number is (559) 256-5200.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.