Organization Active NPI

Adventist Health Physicians Network

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1174820344
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
3727 Buchanan St
Suite. 310
San Francisco, CA 94123-5410
Phone
(707) 968-0670
Fax
(707) 968-9580
NPI assigned
Feb 23, 2011
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH PHYSICIANS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

3727 Buchanan St
Suite. 310
San Francisco, CA 94123-5410

Mailing address

3727 Buchanan St
Suite. 310
San Francisco, CA 94123-5410
Phone (707) 968-0670

Other names 1

  • Coon Joint Replacement Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050407000633 CA Part B Supplier - Clinic/Group Practice 3274580972 Receives reassigned benefits from 808 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Part of
Clafiornia Med FD

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1174820344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN ST",
            "address_2": "SUITE. 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235410",
            "telephone_number": "707-968-0670",
            "fax_number": "707-968-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN ST",
            "address_2": "SUITE. 310",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235410",
            "telephone_number": "707-968-0670",
            "fax_number": "707-968-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "enumeration_date": "2011-02-23",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coon Joint Replacement Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • 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.