Jon S Portnoff (NPI# 1609874445, PAC ID# 6103881784) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1609874445 |
| PAC ID by PECOS | 6103881784 |
| Professional Enrollment ID | I20041123000368 |
| Full Name | Jon S Portnoff |
| Organization Legal Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Address |
15322 Lakeshore Dr Clearlake CA 95422-9815 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1984 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3274580972 |
| Number of Group Practice Members | 299 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050301 | ADVENTIST HEALTH UKIAH VALLEY |
| 051310 | ADVENTIST HEALTH HOWARD MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 15322 Lakeshore Dr, Clearlake, CA 95422-9815 | ADVENTIST HEALTH PHYSICIANS NETWORK | |
| 475 N Forbes St, Lakeport, CA 95453-4725 | 7072636346 | UKIAH ADVENTIST HOSPITAL |
| 245 Hospital Dr, Ukiah, CA 95482-4531 | 7074623111 | UKIAH ADVENTIST HOSPITAL |
| 275 Hospital Dr, Ukiah, CA 95482-4531 | 7074623111 | UKIAH ADVENTIST HOSPITAL |
| 1 Marcela Dr, Willits, CA 95490-5769 | 7074596801 | WILLITS HOSPITAL INC |
| 3 Marcela Dr, Willits, CA 95490-5769 | 7074596115 | ADVENTIST HEALTH PHYSICIANS NETWORK |
| 3 Marcela Dr, Suite D, Willits, CA 95490-5769 | 7074594220 | WILLITS HOSPITAL INC |
| 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 |
15322 LAKESHORE DR |
| City | CLEARLAKE |
| State | CA |
| Zip | 95422-9815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Young | Pain Management | Adventist Health Physicians Network | 15322 Lakeshore Dr, Suite 102, Clearlake, CA 95422-9815 |
| Kristin M Groessl | Physician Assistant | Adventist Health Physicians Network | 15322 Lakeshore Dr, Clearlake, CA 95422-9815 |
| Norma Medina | Nurse Practitioner | Adventist Health Physicians Network | 15322 Lakeshore Dr, Clearlake, CA 95422-9815 |
| Ethan D Schram | Hematology/oncology | Adventist Health Physicians Network | 15322 Lakeshore Dr, Clearlake, CA 95422-9815 |
| Gary W Andrus | Qualified Audiologist | Adventist Health Physicians Network | 15322 Lakeshore Dr, Clearlake, CA 95422-9815 |
| Srikanth Prayaga | Psychiatry | Adventist Health St. Helena Ob/gyn | 15322 Lakeshore Dr, Suite 102, Clearlake, CA 95422-9815 |
| Susan R Gamble | Internal Medicine | Adventist Health St. Helena Ob/gyn | 15322 Lakeshore Dr, Suite 102, Clearlake, CA 95422-9815 |
| Timothy I Lawver | Psychiatry | Adventist Health St. Helena Ob/gyn | 15322 Lakeshore Dr, Suite 102, Clearlake, CA 95422-9815 |
| Samee S Shahzada | Psychiatry | Adventist Health St. Helena Ob/gyn | 15322 Lakeshore Dr, Suite 102, Clearlake, CA 95422-9815 |
| Susan Klimist-zingo | Physician Assistant | Adventist Health Physicians Network | 15322 Lakeshore Dr, Clearlake, CA 95422-9815 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric E Kim | Internal Medicine | 4456 Manzanita Ave, C, Clearlake, CA 95422-7937 | |
| 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 |
| Kimberly Fordham | Family Practice | Adventist Health Physicians Network | 15230 Lakeshore Dr, Clearlake, CA 95422-8107 |
| Joanne Rode | Physician Assistant | 7000 B S Ctr Dr, Unit A, Clearlake, CA 95422-8131 | |
| Find all physicians in zip 95422 | |||
| City | CLEARLAKE |
| Zip Code | 95422 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | CLEARLAKE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Jon S Portnoff.
| 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.