Kimberly Fordham (NPI# 1376568808, PAC ID# 6103711999) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1376568808 |
| PAC ID by PECOS | 6103711999 |
| Professional Enrollment ID | I20040219000853 |
| Full Name | Kimberly Fordham |
| Organization Legal Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Address |
15230 Lakeshore Dr Clearlake CA 95422-8107 |
| Phone Number | 7079954500 |
| Gender | F |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3274580972 |
| Number of Group Practice Members | 263 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051317 | ST HELENA HOSPITAL-CLEARLAKE |
| 050013 | ST HELENA HOSPITAL |
| 051329 | SUTTER LAKESIDE HOSPITAL |
| 050301 | UKIAH VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 15230 Lakeshore Dr, Clearlake, CA 95422-8107 | 7079954500 | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Organization Legal Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Physicians | 302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nare Stepanyan | Family Medicine | Adventist Health Physicians Network | 1975 Verdugo Blvd, La Canada, CA 91011-3018 |
| Elizabeth Joyce | Nurse Practitioner | Adventist Health Physicians Network | 2563 N 11th Ave, Suite 109, Hanford, CA 93230-1462 |
| Kristine K Twite Lehnen | Certified Nurse Midwife (cnm) | Adventist Health Physicians Network | 821 S St Helena Hwy, Saint Helena, CA 95474-1106 |
| Jacqueline Kim Nguyen | Orthopedic Surgery | Adventist Health Physicians Network | 1530 Railroad Ave, Saint Helena, CA 94574-1106 |
| Kent M Lai | Family Medicine | Adventist Health Physicians Network | 1233 Plumas St, Suite A, Yuba City, CA 95991-3410 |
| Eve Collins Shank | Otolaryngology | Adventist Health Physicians Network | 370 Del Noris Ave, Suite 203, Yuba City, CA 95991-4142 |
| Ryan S Casey | Nurse Practitioner | Adventist Health Physicians Network | 804 W 7th St, Hanford, CA 93230-4926 |
| Srikanth Naramala | Rheumatology | Adventist Health Physicians Network | 470 Greenfield Ave, Suite 305, Hanford, CA 93230-3578 |
| Sandy Iv Salinas | Nurse Practitioner | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| Ronglin Li | Nurse Practitioner | Adventist Health Physicians Network | 9900 Stockdale Hwy, Suite 200, Bakersfield, CA 93311-3634 |
| Street Address |
15230 LAKESHORE DR |
| City | CLEARLAKE |
| State | CA |
| Zip | 95422-8107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond D Jennings | Internal Medicine | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Martin Paukert | Plastic and Reconstructive Surgery | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Christopher P Lombardo | Otolaryngology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Michael Rudolph Cosenza | Podiatry | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Andrew B Chung | Ophthalmology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Ian D Macagy | Obstetrics/gynecology | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Jenny L Senff | Nurse Practitioner | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric E Kim | Internal Medicine | 4456 Manzanita Ave, C, Clearlake, CA 95422-7937 | |
| Joanne Rode | Physician Assistant | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 | |
| Thomas J Lancaster | Psychiatry | County of Lake | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 |
| Mary Lechner | Optometry | Eye Associates of Sebastopol Medical Group | 14709 Lakeshore Dr, Clearlake, CA 95422-8162 |
| Roberto Rende | Ophthalmology | Eye Associates of Sebastopol Medical Group | 14709 Lakeshore Dr, Clearlake, CA 95422-8162 |
| Eric J Kahle | Ophthalmology | Eye Associates of Sebastopol Medical Group | 14709 Lakeshore Dr, Clearlake, CA 95422-8162 |
| Randal P Hrabko | General Practice | Eye Associates of Sebastopol Medical Group | 14709 Lakeshore Dr, Clearlake, CA 95422-8162 |
| Jack Elizares | Optometry | 3610 Old Hwy 53, Clearlake, CA 95422-9253 | |
| Geoffrey W Horn | Diagnostic Radiology | Adventist Health Clearlake Hospital Inc. | 15630 18th Ave, Clearlake, CA 95422-9336 |
| John E Rampulla | Emergency Medicine | Acute Medical Providers Inc | 15630 18th Ave, Clearlake, CA 95422-9336 |
| Find all physicians in zip 95422 | |||
| City | CLEARLAKE |
| Zip Code | 95422 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CLEARLAKE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kimberly Fordham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.