ADVENTIST HEALTH PHYSICIANS NETWORK (NPI# 1568913804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568913804 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Practice Address |
1165 S Dora St Suite B-1 Ukiah CA 95482-8325 |
| Mailing Address |
Po Box 398794 San Francisco CA 94139-8794 |
| Practice Telephone | 7074620581 |
| Mailing Telephone | 9168651865 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | MR. ADRIAN SERNA (C.F.O.) |
| Authorized Official Telephone | 9168651865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| Y | 207W00000X | Ophthalmology | CA | 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 |
1165 S DORA ST SUITE B-1 |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-8325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655882 | Mark A Bisignani | Radiology | 1165 S Dora St, Ukiah, CA 95482-8325 | 2005-08-09 |
| 1801322268 | Michael Weil | Specialist | 1165 S Dora St, Ukiah, CA 95482-8325 | 2017-05-04 |
| 1326431602 | Adventist Health Physicians Network | Otolaryngology | 1165 S Dora St, Suite C-2, Ukiah, CA 95482-8325 | 2015-03-11 |
| 1427301019 | Gary Wyatt Andrus | Audiologist-Hearing Aid Fitter | 1165 S Dora St, Ste B2, Ukiah, CA 95482-8325 | 2012-10-19 |
| 1194085324 | Qi Zhang | Otolaryngology | 1165 S Dora St, C-2, Ukiah, CA 95482-8325 | 2012-05-22 |
| 1962796268 | Planned Parenthood Shasta Pacific | Clinic/Center | 1165 S Dora St, Ukiah, CA 95482-8325 | 2011-06-03 |
| 1780754374 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite B-1, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1861562456 | Ukiah Adventist Hosptial | Clinic/Center | 1165 S Dora St, Suite E-2, Ukiah, CA 95482-8325 | 2006-11-09 |
| 1215006143 | Aldis Baltins | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482 | 2006-11-07 |
| 1114007093 | Thomas Eugene Kilkenny Jr. | Orthopaedic Surgery | 1165 S Dora St, Suite C1, Ukiah, CA 95482-8325 | 2006-10-16 |
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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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831640184 | Adventist Health Physicians Network | Ophthalmology | 248 Hospital Dr Ste B, Ukiah, CA 95482-4555 | 2016-10-21 |
| 1245267087 | Jack F Mason | Ophthalmology | 1165 S Dora St Ste B1, Ukiah, CA 95482-6353 | 2006-06-27 |
| 1194776948 | Geoffrey L Rice | Ophthalmology | 248 Hospital Dr, Ukiah, CA 95482-4555 | 2006-05-15 |
| 1679569933 | Randall E Woesner | Ophthalmology | 248-a Hospital Dr, Ukiah, CA 95482-4555 | 2005-09-22 |
| 1538188701 | Barton Byers | Ophthalmology | 555 S Dora St, Ukiah, CA 95482-5424 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
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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.