ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. – NPI #1154646982
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. is a provider located in CLEARLAKE, CA. NPPES has assigned the NPI number 1154646982 to ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. on April 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. below.

NPI Profile for
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.

NPI Number
1154646982
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Primary location
15322 LAKESHORE DR
SUITE 203
CLEARLAKE, CA 95422-9814
Phone: (707) 968-2809 Fax: (707) 963-9185
Mailing address
1572 RAILROAD AVE
SUITE 2
SAINT HELENA, CA 94574-1169
Phone: (707) 968-2809 Fax: (707) 963-9185
Organization Subpart
No
Authorized Official
KAYE DONNELLY
CREDENTIALING COORDINATOR
Phone: (707) 968-2809
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
CA C32535
208800000X
- Urology
CA A106559

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.