Provider Demographics
NPI:1710997895
Name:SIERRA, PATRICIA BEATRIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:BEATRIZ
Last Name:SIERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:BEATRIZ
Other - Last Name:SIERRA-WILKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1515 RIVER PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4610
Mailing Address - Country:US
Mailing Address - Phone:916-649-1515
Mailing Address - Fax:916-649-1516
Practice Address - Street 1:1515 RESPONSE RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4805
Practice Address - Country:US
Practice Address - Phone:916-649-1515
Practice Address - Fax:916-649-1516
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA82588207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H60972Medicare UPIN
CAZZZ14936ZMedicare PIN