ADVENTIST HEALTH PHYSICIANS NETWORK (NPI# 1568801918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568801918 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Practice Address |
1620 Pennsylvania Ave Suite B Fairfield CA 94533-3551 |
| Mailing Address |
2100 Douglas Blvd Roseville CA 95661-3804 |
| Practice Telephone | 7075573200 |
| Practice Fax Number | 7075573201 |
| Mailing Telephone | 9167894209 |
| Mailing Fax Number | 9167894206 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MR. KIRBY J MCKAGUE (CFO) |
| Authorized Official Telephone | 9167894209 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| 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 |
1620 PENNSYLVANIA AVE SUITE B |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074814 | Solano After Hours Medical Clinic Inc. | Family Medicine | 1620 Pennsylvania Ave, Ste C, Fairfield, CA 94533-3551 | 2006-02-28 |
| 1114256955 | Jennifer K Fong | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3551 | 2009-12-07 |
| 1548595309 | Dasari Medical Corporation | Clinic/Center | 1620 Pennsylvania Ave, D, Fairfield, CA 94533-3551 | 2009-10-13 |
| 1093950040 | Seturam Pandurangi Md A Profession Corporation | Allergy & Immunology | 1620 Pennsylvania Ave, # B, Fairfield, CA 94533-3551 | 2008-12-04 |
| 1609078377 | Giang Hong Duc Son | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2007-06-04 |
| 1316032907 | Seturam Pandurangi | Allergy & Immunology | 1620 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3551 | 2006-10-03 |
| 1790887974 | Northbay Podiatric Medical Grp Inc | Podiatrist | 1620 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3509 | 2006-09-01 |
| 1114965258 | Rebekah O Ayodele | Family Medicine | 1620 Pennsylvania Ave, Suite C, Fairfield, CA 94533-3551 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
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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.