SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
NPI 1285669655
Specialist in Fresno, CA
NPI Status: Active since July 12, 2006
Contact Information
1630 E HERNDON AVE
FRESNO, CA
ZIP 93720
Phone: (559) 256-5200
Fax: (559) 256-5367
- Organization
- Specialist
- CLIA Number: 05D2202332
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-24-2026
About SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Sierra Pacific Orthopaedic Center Medical Group, Inc., a provider established in Fresno, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1285669655 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Lyndsi Hanson (Hr Specialist)
- NPI
- 1285669655
- Provider Name
- SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 1630 E HERNDON AVE FRESNO, CA 93720
- Location Phone
- (559) 256-5200
- Location Fax
- (559) 256-5367
- Mailing Address
- 1630 E HERNDON AVE FRESNO, CA 93720
- Mailing Phone
- (559) 256-5200
- Mailing Fax
- (559) 256-5367
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 06-28-2018
- Code Navigator
Location Map
Secondary Locations
- 1270 E. Spruce
Fresno, CA 93720
(559) 256-5200
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0168871 | OTHER (01) | CA | STATE OF WASHINGTON |
| CJ2542 | OTHER (01) | CA | RAILROAD MEDICARE |
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
- 05D2202332
- Facility Type
- Physician Office
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- ROD KRAFT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Sierra Pacific Orthopaedic Center Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 2 | 8 | 5 | 6 | 6 | 9 | 6 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 12 | 6 | 18 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 1 + 2 + 6 + 1 + 8 + 6 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1285669655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063403442 | JEROME R DUNKLIN M.D. Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1649253824 | JULIE DUQUETTE PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1124001318 | FRANCIS GLASER MD Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1932182193 | TODD BRANER Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1891778775 | MICHELE SCHULZ MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1780667667 | JERRY SMITH MD Individual | Physical Medicine & Rehabilitation | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1760465686 | JERYL WIENS MD Individual | Physical Medicine & Rehabilitation | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1487637468 | GREG MELLOR PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1730162611 | HARDIP RAHAL PA Individual | Physician Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1265415046 | JOANN GARCIA NP Individual | Nurse Practitioner | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1013990811 | ERIC HANSON MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1760465496 | STEVEN THAXTER MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1487637104 | DAVID TAYLOR MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1225011968 | THOMAS THOMAS MD Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1649253295 | TIMOTHY WATSON MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1942284096 | CARY TANNER MD Individual | Orthopaedic Surgery (Hand Surgery) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1033183140 | PARAMJEET GILL M.D. Individual | Orthopaedic Surgery | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1598879694 | MR. ALEXANDER L MAJORS M.D. Individual | Surgery (Surgery of the Hand) | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1518066489 | MR. RICHARD ANTHONY LEMBO ATC PTA Individual | Physical Therapy Assistant | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
| 1275625725 | ERIC J LITTLE Individual | Physical Therapist | 1630 E HERNDON AVE FRESNO, CA 93720 (559) 256-5200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285669655, enumerated in the NPI registry as an "organization" on July 12, 2006
The provider is located at 1630 E Herndon Ave Fresno, Ca 93720 and the phone number is (559) 256-5200
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2202332 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 12, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.