ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. (NPI# 1154571636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154571636 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. |
| Other Organization Name | ST. HELENA NEUROLOGY |
| Practice Address |
18990 Coyote Valley Road Suite 8 Hidden Valley Lake CA 95467 |
| Mailing Address |
10 Woodland Rd Suite 502 Saint Helena CA 94574-9554 |
| Practice Telephone | 7079878344 |
| Practice Fax Number | 7079878395 |
| Mailing Telephone | 7079631882 |
| Mailing Fax Number | 7079631895 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-23 |
| 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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G88201 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Helena Neurology | Doing Business As Name - Organization |
| 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 |
18990 COYOTE VALLEY ROAD SUITE 8 |
| City | HIDDEN VALLEY LAKE |
| State | CA |
| Zip Code | 95467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982730800 | Adventist Health California Medical Group, Inc. | Specialist | 18990 Coyote Valley Road, Suite 8, Hidden Valley Lake, CA 95467 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790806602 | Marvich Enterprises, LLC | Pharmacy | 19851 Hartmann Road, Suite C, Hidden Valley Lake, CA 95467 | 2007-04-02 |
| 1992003602 | Laura Nichols | Midwife | 17921 Moon Hill Ct, Hidden Valley Lake, CA 95467-8097 | 2011-03-03 |
| 1457764466 | Betty Lue Lieber | Counselor | 17664 Greenridge Rd, Hidden Valley Lake, CA 95467-8275 | 2014-06-06 |
| 1790116861 | Maravich Enterprises | Pharmacy | 19851 Hartmann Rd, Unit C, Hidden Valley Lake, CA 95467-8307 | 2013-11-27 |
| 1194927327 | Maureen Frances Brown | Nurse Practitioner | 19400 Dallas Ct # B, Hidden Valley Lake, CA 95467-8325 | 2007-06-01 |
| 1598398711 | Lisa Cuff | Nurse Practitioner | 19558 Donkey Hill Rd, Hidden Valley Lake, CA 95467-8332 | 2020-02-17 |
| 1710584388 | Lake Health Services, Inc. | Pharmacy | 18990 Coyote Valley Rd Ste 2&3, Hidden Valley Lake, CA 95467-8337 | 2020-10-06 |
| 1578860722 | Adventist Health Physicians Network | Internal Medicine | 18990 Coyote Valley Rd, Suite 9, Hidden Valley Lake, CA 95467-8337 | 2011-02-24 |
| 1558737486 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 18990 Coyote Valley Rd, Hidden Valley Lake, CA 95467-8337 | 2015-08-14 |
| 1538409818 | Adventist Health Physicians Network | Clinic/Center | 18990 Coyote Valley Rd, Suite 8, Hidden Valley Lake, CA 95467-8337 | 2013-02-22 |
| Find all providers in zip 95467 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1659901254 | Kern County Neurological Medical Group, Inc | Psychiatry & Neurology | 18645 Gale Ave Ste 228b, City of Industry, CA 91748-1363 | 2020-01-22 |
| 1609415314 | Aspire Holdings, Inc | Psychiatry & Neurology | 28212 Kelly Johnson Pkwy Ste 215, Valencia, CA 91355-5090 | 2019-12-27 |
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| Find all providers with the same taxonomy | ||||
| City | HIDDEN VALLEY LAKE |
| Zip Code | 95467 |
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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.