ADVENTIST HEALTH PHYSICIANS NETWORK (NPI# 1114582020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114582020 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Practice Address |
5125 Skyway Paradise CA 95969-5624 |
| Mailing Address |
Po Box 398794 San Francisco CA 94139-8794 |
| Practice Telephone | 5308722000 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | ADRIAN SERNA (CFO) |
| Authorized Official Telephone | 9168651887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1255956132 | Adventist Health Physicians Network | Internal Medicine | 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 | 2020-06-16 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1326667569 | Adventist Health Physicians Network | Clinic/Center | 2103 E Prosperity Ave, Tulare, CA 93274-7754 | 2020-04-08 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1497395354 | Adventist Health Physicians Network | Surgery | 432 Lexington St Ste A, Delano, CA 93215-3697 | 2020-01-08 |
| 1639717622 | Adventist Health Physicians Network | Family Medicine | 135 Macaw Ln Ste 210, Simi Valley, CA 93065-3153 | 2019-12-20 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1861058521 | Adventist Health Physicians Network | Radiology | 945 Shasta St Ste 150, Yuba City, CA 95991-4114 | 2019-05-17 |
| Street Address |
5125 SKYWAY |
| City | PARADISE |
| State | CA |
| Zip Code | 95969-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842933 | Brian Michael Estabrook | Physician Assistant | 5125 Skyway, Paradise, CA 95969-5624 | 2005-09-20 |
| 1033734926 | Lisa Cordova | Nurse Practitioner | 5125 Skyway, Paradise, CA 95969-5624 | 2020-06-16 |
| 1891169330 | Feather River Hospital | General Acute Care Hospital | 5125 Skyway, Paradise, CA 95969-5624 | 2015-11-20 |
| 1457724239 | Christopher Jensen | Physician Assistant | 5125 Skyway, Paradise, CA 95969-5624 | 2015-11-03 |
| 1508232331 | Laura Jane Bethke | Nurse Practitioner | 5125 Skyway, Paradise, CA 95969-5624 | 2015-08-16 |
| 1982046793 | Noelle Evonne Gunn | Physician Assistant | 5125 Skyway, Paradise, CA 95969-5624 | 2013-07-22 |
| 1699014555 | Frank Tsolakis | Pharmacist | 5125 Skyway, Paradise, CA 95969-5624 | 2013-02-12 |
| 1851630032 | Chanin Jeanine Hanson | Registered Nurse | 5125 Skyway, Paradise, CA 95969-5624 | 2013-02-07 |
| 1942550132 | Lori Fox Goodliffe | Nurse Practitioner | 5125 Skyway, Paradise, CA 95969-5624 | 2012-09-14 |
| 1578825782 | Vashty Abigail Kyle | Nurse Practitioner | 5125 Skyway, Paradise, CA 95969-5624 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959155 | Jason Vance Md A Medical Corporation | Family Medicine | 6480 Pentz Rd Ste B, Paradise, CA 95969-3672 | 2018-04-09 |
| 1699049064 | Harrison Gill | Family Medicine | 1849 Salida Way, Paradise, CA 95969-6032 | 2012-03-02 |
| 1194939660 | Suk Chun Lee | Family Medicine | 7321 Skyway, Paradise, CA 95969 | 2007-05-10 |
| 1386645539 | Dwight Larry Miller | Family Medicine | 6585 Clark Rd, Suite 440, Paradise, CA 95969-3500 | 2005-08-09 |
| 1952791907 | Galen Inpatient Physicians Inc | Family Medicine | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2015-01-29 |
| 1841356342 | Randal Douglas Reed | Family Medicine | 5734 Canyon View Drive, Paradise, CA 95969-5503 | 2006-12-29 |
| 1477638807 | Jay Randal Sloop | Family Medicine | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-10-26 |
| 1427069194 | Lynne Pappas | Family Medicine | 5125 Skyway, Paradise, CA 95969-5624 | 2006-08-10 |
| 1487677670 | Donald T Smith | Family Medicine | 5974 Pentz Rd, Paradise, CA 95969-5509 | 2006-07-26 |
| 1003847872 | Edgar H Clark | Family Medicine | 6585 Clark Rd, Suite 360, Paradise, CA 95969-3500 | 2006-07-06 |
| Find all providers in PARADISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.