ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. (NPI# 1679852958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679852958 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. |
| Other Organization Name | ST. HELENA FAMILY HEALTH CENTER KELSEYVILLE |
| Practice Address |
5290 State St Kelseyville CA 95451-9450 |
| Mailing Address |
1001 Adams St Suite 102 Saint Helena CA 94574-1107 |
| Practice Telephone | 7072798813 |
| Practice Fax Number | 7072792241 |
| Mailing Telephone | 7079682809 |
| Mailing Fax Number | 7079639185 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | KAYE A DONNELLY (SPECIALIST, CONTRACT COMPLIANCE) |
| Authorized Official Telephone | 7079682809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Helena Family Health Center Kelseyville | 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 |
| 1093093643 | Adventist Health California Medical Group, Inc. | Otolaryngology | 3230 Beard Rd, Suite 2, Napa, CA 94558-3673 | 2011-08-01 |
| 1457648271 | Adventist Health California Medical Group, Inc. | Internal Medicine | 6 Woodland Rd, Suite 103, Saint Helena, CA 94574-9501 | 2011-06-30 |
| Street Address |
5290 STATE ST |
| City | KELSEYVILLE |
| State | CA |
| Zip Code | 95451-9450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962492876 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 5290 State St, Kelseyville, CA 95451-9450 | 2005-10-24 |
| 1417093055 | Eunice M Mentges | Registered Nurse | 5290 State St, Kelseyville, CA 95451-9450 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487705315 | Carol A. Richards Psyd. | Local Education Agency (LEA) | 3970 Main St., Suite 4, Kelseyville, CA 95451 | 2007-01-16 |
| 1316972425 | Paula R Dhanda | Obstetrics & Gynecology | 5685 Main Street, Kelseyville, CA 95451 | 2006-07-11 |
| 1407812019 | Bradley James Smith | Physical Therapist | 5289 State St, Kelseyville, CA 95451 | 2006-04-22 |
| 1851853691 | Pearly Pearly Karunakaran | Dietitian, Registered | 1995 Eastlake Dr, Kelseyville, CA 95451-7012 | 2019-04-02 |
| 1548796055 | Michelle Kay Givens | Physical Therapist | 2718 Greenway Dr, Kelseyville, CA 95451-7028 | 2017-05-03 |
| 1902977044 | Advocates for Independent Living | Intermediate Care Facility, Mentally Retarded | 4795 Gaddy Ln, Kelseyville, CA 95451-7407 | 2006-11-12 |
| 1346246261 | Kelseyville Fire Protection District | Ambulance | 4020 Main St, Kelseyville, CA 95451-7410 | 2005-06-24 |
| 1881616472 | Ruth A Stewart | Pharmacy | 3720 Main St, Kelseyville, CA 95451-7420 | 2006-07-24 |
| 1174740898 | Levi Samuel Palmer | Dentist | 7275 Adobe Creek Dr, Kelseyville, CA 95451-8008 | 2007-04-20 |
| 1790181816 | Erin Bennett | Registered Nurse | 9320 Kelsey Creek Dr, Kelseyville, CA 95451-8031 | 2014-11-17 |
| Find all providers in zip 95451 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
| City | KELSEYVILLE |
| Zip Code | 95451 |
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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.