SIERRA CARE PHYSICIANS
NPI 1235145608
Pediatrics in Grass Valley, CA

NPI Status: Active since July 31, 2006

Contact Information

140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9780
Fax: (530) 272-0156

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  • Organization
  • Pediatrics
  • CLIA Number: 05D0991196
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-12-2025

About SIERRA CARE PHYSICIANS

This page provides the complete NPI Profile along with additional information for Sierra Care Physicians, a pediatrician established in Grass Valley, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1235145608 assigned on July 2006. The practitioner's primary taxonomy code is 208000000X with license number G61414 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Sierra Care Physicians operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sierra Care Physicians. The authorized official of this NPI record is Douglas E Wagner M.d. (President, Board Of Directors)

NPI
1235145608
Provider Legal Name
SIERRA NEVADA PRIMARY CARE
Other Organization Name
SIERRA CARE PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
140 LITTON DR STE 100 GRASS VALLEY, CA 95945
Location Phone
(530) 272-9780
Location Fax
(530) 272-0156
Mailing Address
P.O. BOX 459001 GRASS VALLEY, CA 95945
Mailing Phone
(530) 477-4016
Mailing Fax
(530) 272-0156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2006
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Sierra Care Physicians is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
G61414
License State
CA
Taxonomy Description
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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

G35403 (CA)
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

G237680 (CA)
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

A26753 (CA)
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

A71856 (CA)
5208000000XAllopathic & Osteopathic Physicians

Pediatrics

G34453 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS E WAGNER M.D.

Authorized Official Title
PRESIDENT, BOARD OF DIRECTORS
Authorized Official Phone
(530) 272-9780

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0991196
Facility Type
Physician Office
Certificate Effective Date
September 13, 2023
Certificate Expiration Date
September 12, 2025
Laboratory Director
MARA BEREZNIAK DO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Sierra Care Physicians in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235145608
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265241060
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 2 + 4 + 1 + 0 + 6 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1235145608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013932953 JOYCE MARGARET CZUPRYNSKI M.D.
Individual
Pediatrics140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780
1306861273 SARAH J WOERNER M.D.
Individual
Pediatrics140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780
1922023845 MICHAEL E CURTIS M.D.
Individual
Pediatrics140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780
1649299959 JOSEPH D LAMBERT M.D.
Individual
Pediatrics140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780
1427072008SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION
Organization
Family Medicine140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 477-4016
1306976543 EMILY GALLUP M.F.T.
Individual
Marriage & Family Therapist140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 559-6378
1548458839SIERRA NEVADA PRIMARY CARE
Organization
Pediatrics140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780
1134563109 PETER HARRIS
Individual
Pediatrics (Adolescent Medicine)140 LITTON DR STE 100
GRASS VALLEY, CA 95945
(530) 272-9780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235145608, enumerated in the NPI registry as an "organization" on July 31, 2006

The provider is located at 140 Litton Dr Ste 100 Grass Valley, Ca 95945 and the phone number is (530) 272-9780

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider's CLIA number is 05D0991196 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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