Organization · Type 2 NPI

Western Sierra Medical Clinic, Inc.

Federally Qualified Health Center (FQHC) · Kings Beach, CA

NPI number 1306324512 Active

Practice location

8665 Salmon Avenue
Kings Beach, CA 96143

Call (530) 273-4984 Map

Fax (530) 273-4573

Mailing address

844 Old Tunnel Rd Ste 110
Grass Valley, CA 95945-8524

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1306324512
Entity type: Organization (Type 2)
Issued: Jul 31, 2018
Last updated: Mar 19, 2026
Status: Active
Subpart: Yes of Western Sierra Medical Clinic, Inc.

Other names

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Western Sierra Medical Clinic - Kings Beach · doing business as
Western Sierra Medical Clinic - Kings Beach · doing business as

Authorized official

Francine Novak
Chief Planning and Development Offi
(530) 802-2706

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306324512

Western Sierra Medical Clinic, Inc.'s National Provider Identifier is 1306324512, issued on Jul 31, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kings Beach, CA. The record was last updated on Mar 19, 2026.