Provider Demographics
NPI:1568015808
Name:SIERRA MEDICAL PARTNERSHIP
Entity Type:Organization
Organization Name:SIERRA MEDICAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SKEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:916-663-2100
Mailing Address - Street 1:1625 CREEKSIDE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3819
Mailing Address - Country:US
Mailing Address - Phone:916-663-2100
Mailing Address - Fax:916-663-2103
Practice Address - Street 1:1625 CREEKSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3819
Practice Address - Country:US
Practice Address - Phone:916-857-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-16
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty