NPIMap

Organization Active NPI

Adventist Health California Medical Group, Inc.

Doing business as St. Helena Neurology

  • Neurology Physician
  • Hidden Valley Lake, CA
National Provider Identifier
1154571636
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G88201 Issued in CA
Legal business name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Doing business as
St. Helena Neurology
Practice address
18990 Coyote Valley Road
Suite 8
Hidden Valley Lake, CA 95467
Phone
(707) 987-8344
Fax
(707) 987-8395
NPI assigned
Sep 22, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Kaye A. Donnelly
Title
Coordinator
Phone
(707) 968-2809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G88201 CA Primary

Addresses

Primary practice location

18990 Coyote Valley Road
Suite 8
Hidden Valley Lake, CA 95467

Mailing address

10 Woodland Rd
Suite 502
Saint Helena, CA 94574-9554
Phone (707) 963-1882

Other names 1

  • St. Helena Neurology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health California Medical Group Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

10 Woodland Rd
Ste 502
Saint Helena, CA 94574
Phone (707) 963-1882

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1154571636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "address_2": "SUITE 502",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-1882",
            "fax_number": "707-963-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 COYOTE VALLEY ROAD",
            "address_2": "SUITE 8",
            "city": "HIDDEN VALLEY LAKE",
            "state": "CA",
            "postal_code": "95467",
            "telephone_number": "707-987-8344",
            "fax_number": "707-987-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "707-968-2809"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G88201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Helena Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hidden Valley Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.