ADVENTIST HEALTH PHYSICIANS NETWORK (NPI# 1326431669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326431669 |
Entity Type | Organization |
Organization Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
Practice Address |
260 Hospital Dr Suite 201 Ukiah CA 95482-4568 |
Mailing Address |
Po Box 398794 San Francisco CA 94139-8794 |
Practice Telephone | 7074621928 |
Practice Fax Number | 7074628642 |
Mailing Telephone | 9168651865 |
Enumeration Date | 2015-03-11 |
Last Update Date | 2018-01-09 |
Authorized Official Name | MR. ADRIAN SERNA (CFO) |
Authorized Official Telephone | 9168651865 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 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 |
260 HOSPITAL DR SUITE 201 |
City | UKIAH |
State | CA |
Zip Code | 95482-4568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609874445 | Jon Stephen Portnoff | Internal Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 | 2005-07-13 |
1114557345 | Shakuntala Blomquist | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2020-01-15 |
1184175895 | Adventist Health Physicians Network | Pediatrics | 260 Hospital Dr, Suite 204, Ukiah, CA 95482-4568 | 2016-10-18 |
1447701156 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 209, Ukiah, CA 95482-4568 | 2016-10-18 |
1285185991 | Adventist Health Physicians Network | Internal Medicine | 260 Hospital Dr, Suite 103, Ukiah, CA 95482-4568 | 2016-10-18 |
1124499413 | Lori Katnik | Nurse Practitioner | 260 Hospital Dr, Ukiah, CA 95482-4568 | 2015-10-13 |
1053790915 | Adventist Health Physicians Network | Physical Medicine & Rehabilitation | 260 Hospital Dr, Suite 102, Ukiah, CA 95482-4568 | 2015-05-26 |
1659764777 | Adventist Health Physicians Network | Orthopaedic Surgery | 260 Hospital Dr, Suite 107, Ukiah, CA 95482-4568 | 2015-03-13 |
1609269984 | Adventist Health Physicians Network | Family Medicine | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4568 | 2015-03-11 |
1538566757 | Minerva Stirling | Social Worker | 260 Hospital Dr, Suite 101, Ukiah, CA 95482-4568 | 2014-12-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912992413 | Robert Earl Blackwelder | Urology | 260 Hospital Dr Ste 201, Ukiah, CA 95482-4533 | 2005-09-12 |
1235117078 | Joanne Mary Lamonica | Urology | 260 Hospital Dr Ste 201, Ukiah, CA 95482-4568 | 2006-01-03 |
1134103898 | Paul Jepson | Urology | 260 Hospital Dr, Suite 201, Ukiah, CA 95482-4533 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
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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.