Adventist Health Physicians Network

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ADVENTIST HEALTH PHYSICIANS NETWORK

Doing business as

Coon Joint Replacement Institute

Practice address

18990 Coyote Valley Rd
Ste. 5
Hidden Valley Lake, CA 95467-8337

Phone

(707) 967-5721

NPI assigned

Feb 25, 2011

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ADVENTIST HEALTHPHYSICIANS NETWORKAs reported in NPPES

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

Authorized official

Name

Mr. Jeffrey M. Conklin

Title

President

Phone

(916) 789-4209

Specialties & licenses 1

Addresses

Other names 1

• Coon Joint Replacement Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Richard Tompkins

Locations

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.

• Autumn Burnes, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1134650286
  NPD
• Ashley Nitasha Bedi, DO

  • Physical Medicine & Rehabilitation Physician
  • Lodi, CA
  • NPI 1770076994
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1033416136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18990 COYOTE VALLEY RD",
            "address_2": "STE.5",
            "city": "HIDDEN VALLEY LAKE",
            "state": "CA",
            "postal_code": "954678337",
            "telephone_number": "707-968-2809",
            "fax_number": "707-963-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 COYOTE VALLEY RD",
            "address_2": "STE. 5",
            "city": "HIDDEN VALLEY LAKE",
            "state": "CA",
            "postal_code": "954678337",
            "telephone_number": "707-967-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTHPHYSICIANS NETWORK",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-789-4209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coon Joint Replacement Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adventist Health California Medical Group, Inc. (St. Helena Neurology)
• Adventist Health California Medical Group, Inc.
• Adventist Health California Medical Group, Inc.
• Adventist Health California Medical Group, Inc. (Hidden Valley Medical Services)
• Adventist Health Clearlake Hospital Inc (Adventist Health Clear Lake)
• Adventist Health Physicians Network (St Helena Medical Specialties Hidden Valley Lake)
• Adventist Health Physicians Network
• Adventist Health Physicians Network (St. Helena Medical Specialties)
• Adventist Health Physicians Network (St. Helena Medical Specialites)
• Adventist Health Physicians Network (St. Helena Internal Medicine)

• Orthopaedic Surgery Physician in Hidden Valley Lake, CA
• Providers in Hidden Valley Lake, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.