ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. (NPI# 1134453780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134453780 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. |
| Practice Address |
6 Woodland Rd Suite 202 Saint Helena CA 94574-9501 |
| Mailing Address |
1572 Railroad Ave Suite 2 Saint Helena CA 94574-1169 |
| Practice Telephone | 7079635294 |
| Practice Fax Number | 7079634630 |
| Mailing Telephone | 7079682809 |
| Mailing Fax Number | 7079639185 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | KAYE A DONNELLY (COORDINATOR) |
| Authorized Official Telephone | 7079682809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A63303 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486653 | Adventist Health California Medical Group, Inc. | Internal Medicine | 15250 Lakeshore Dr, Suite C, Clearlake, CA 95422-8107 | 2011-06-30 |
| 1558658377 | Adventist Health California Medical Group, Inc. | Urology | 821 S. St. Helena Highway, Saint Helena, CA 94574-2266 | 2011-06-30 |
| 1720303084 | Adventist Health California Medical Group, Inc. | Otolaryngology | 1485 Main St, Suite 101, Saint Helena, CA 94574-1850 | 2010-03-30 |
| 1982730800 | Adventist Health California Medical Group, Inc. | Specialist | 18990 Coyote Valley Road, Suite 8, Hidden Valley Lake, CA 95467 | 2007-02-26 |
| 1154467009 | Adventist Health California Medical Group, Inc. | Specialist | 1001 Adams St, Suite 102, Saint Helena, CA 94574-1107 | 2007-01-29 |
| 1336428390 | Adventist Health California Medical Group, Inc. | Internal Medicine | 18990 Coyote Valley Rd, Suite 10, Hidden Valley Lake, CA 95467-8337 | 2011-08-09 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| 1699054650 | Adventist Health California Medical Group, Inc. | Family Medicine | 18990 Coyote Valley Rd, Suite 5, Hidden Valley Lake, CA 95467-8337 | 2011-08-09 |
| 1679852958 | Adventist Health California Medical Group, Inc. | Obstetrics & Gynecology | 5290 State St, Kelseyville, CA 95451-9450 | 2011-08-04 |
| 1093093643 | Adventist Health California Medical Group, Inc. | Otolaryngology | 3230 Beard Rd, Suite 2, Napa, CA 94558-3673 | 2011-08-01 |
| Street Address |
6 WOODLAND RD SUITE 202 |
| City | SAINT HELENA |
| State | CA |
| Zip Code | 94574-9501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361014 | Roelof Tikker | Podiatrist | 6 Woodland Rd, Suite 104, Saint Helena, CA 94574-9554 | 2005-07-27 |
| 1093252710 | Adventist Health Physicians Network | Orthopaedic Surgery | 6 Woodland Rd, Suite 202, Saint Helena, CA 94574-9501 | 2017-01-20 |
| 1306395959 | Adventist Health Physicians Network | Urology | 6 Woodland Rd, Suite 205, Saint Helena, CA 94574-9501 | 2016-09-23 |
| 1386199370 | Beverly Salazar Ruppert | Physician Assistant | 6 Woodland Rd, Suite 202, Saint Helena, CA 94574-9501 | 2016-08-18 |
| 1780042812 | Steven Bowen | Pharmacist | 6 Woodland Rd, Suite 100, Saint Helena, CA 94574-9501 | 2016-02-03 |
| 1437555422 | Adventist Health Physicians Network | Urology | 6 Woodland Rd, Suite 104, Saint Helena, CA 94574-9501 | 2014-11-18 |
| 1720400427 | Adventist Health Physicians Network | Internal Medicine | 6 Woodland Rd, Suite 303, Saint Helena, CA 94574-9501 | 2014-01-15 |
| 1235564170 | Adventist Health Physicians Network | Surgery | 6 Woodland Rd, Suite 301, Saint Helena, CA 94574-9501 | 2013-09-11 |
| 1821338302 | Adventist Health Physicians Network | Internal Medicine | 6 Woodland Rd, Suite 304, Saint Helena, CA 94574-9501 | 2013-02-21 |
| 1457648271 | Adventist Health California Medical Group, Inc. | Internal Medicine | 6 Woodland Rd, Suite 103, Saint Helena, CA 94574-9501 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063909851 | Bay Imaging Consultants Medical Group Inc | Radiology | St. Helena Hospital, 10 Woodland Road, St. Helena, CA 94574 | 2018-04-17 |
| 1710371463 | Katherine Williams | Internal Medicine | 2800 St. Helena Highway North, Saint Helena, CA 94574 | 2015-03-20 |
| 1437499712 | Adventist Health Physicians Network | Family Medicine | 821 S. Saint Helena Hwy, Suite 2, Saint Helena, CA 94574 | 2013-02-22 |
| 1508156423 | Adventist Health Physicians Network | Obstetrics & Gynecology | 821 S. St Helena Hwy, St Helena, CA 94574 | 2011-04-12 |
| 1972809234 | Maxine Lorene Angell | Counselor | 2101 Spring Street, Saint Helena, CA 94574 | 2011-02-03 |
| 1528266202 | Ryan E Moore | Orthopaedic Surgery | 6 Woodland Rd Ste 202, Saint Helena, CA 94574 | 2007-07-05 |
| 1487779526 | Daniel William Hamlin | Chiropractor | 1282 Vidovich Ave, St Helena, CA 94574 | 2007-03-20 |
| 1386786689 | Allan Curtis Armstrong | Optometrist | 3285 Claremont, Napa, CA 94574 | 2007-02-13 |
| 1619024882 | Peggy Boyar Thomas | Nurse Practitioner | Adventist Health St Helena, 10 Woodland Rd, Saint Helena, CA 94574 | 2007-01-03 |
| 1316007628 | Darleen H Hemmerlin | Dentist | 995 Dowdell Lane, St Helena, CA 94574 | 2006-12-11 |
| Find all providers in zip 94574 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710371463 | Katherine Williams | Internal Medicine | 2800 St. Helena Highway North, Saint Helena, CA 94574 | 2015-03-20 |
| 1407282825 | Stephen George Sunseri | Internal Medicine | 3081 Saint Helena Hwy N, Saint Helena, CA 94574-9656 | 2013-09-17 |
| 1679882500 | Padmaja Manyam | Internal Medicine | 172 Rosebud Ln, Saint Helena, CA 94574-2114 | 2010-09-27 |
| 1588907836 | Ako M Walther | Internal Medicine | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2013-04-04 |
| 1760740385 | Leah M Grabenauer | Internal Medicine | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2012-05-02 |
| 1376840462 | Adventist Health Physicians Network | Internal Medicine | 999 Adams St, Suite 500, Saint Helena, CA 94574-1148 | 2011-02-25 |
| 1003113192 | Adventist Health Physicians Network | Internal Medicine | 6 Woodland Rd, Suite 102, Saint Helena, CA 94574-9501 | 2011-02-25 |
| 1437474269 | Adventist Health California Medical Group, Inc. | Internal Medicine | 6 Woodland Rd, Suite 102, Saint Helena, CA 94574-9501 | 2010-04-05 |
| 1619292448 | Adventist Health California Medical Group, Inc. | Internal Medicine | 999 Adams St, Suite 500, Saint Helena, CA 94574-1148 | 2010-04-05 |
| 1396979175 | Stephanie Kekulawela | Internal Medicine | 6 Woodland Rd Ste 205, Saint Helena, CA 94574-9501 | 2009-05-08 |
| Find all providers in SAINT HELENA | ||||
| City | SAINT HELENA |
| Zip Code | 94574 |
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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.