Guam Seventh-Day Adventist Clinic Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GUAM SEVENTH-DAY ADVENTIST CLINIC INC.

Practice address

388 Ypao Rd
Tamuning, GU 96913-3701

Phone

(671) 646-8881

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikola Stoddart

Title

Authorized Official

Phone

(671) 646-8881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Junghyun Kim, OD

  • Optometrist
  • Tamuning, GU
  • NPI 1093702615
  Medicare reassignment
• Jared W Santana, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1669604062

  GU

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1003762089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 YPAO RD",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133701",
            "telephone_number": "671-646-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM SEVENTH-DAY ADVENTIST CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "STODDART",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "671-646-8881"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guam Medical Pharmacy Corporation (Guam Medical Pharmacy)
• Guam Memorial Hospital
• Guam Psychiatric Services, LLC
• Guam Rexall Drugs
• Guam Rexall Drugs
• Guam Sleep Center, LLC
• Guam Surgicenter, LLC (Island Cancer Center, LLC)
• Guam Surgicenter, LLC
• Guam Surgicenter, LLC (Guam Surgicenter Clinic)
• Guam Urology, LLC

• General Practice Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• General Practice Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.