Adventist Health Physicians Network

Organization Active NPI Internal Medicine Physician · Saint Helena, CA

NPI 1376840462 · NPPES record last updated Feb 25, 2011

Key facts

NPI
1376840462
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
999 Adams St
Suite 500
Saint Helena, CA 94574-1148
Phone
(707) 963-5294
Fax
(707) 963-3271
NPI assigned
Feb 25, 2011
Organization subpart
Yes
Parent organization (as reported)
ADVENTIST HEALTH PHYSICIANS NETWORK

Authorized official

Name
Mr. Jeff Conklin
Title
President
Phone
(916) 789-4209

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

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

Part of
Clafiornia Med FD

Locations

999 Adams St
Ste 201
Saint Helena, CA 94574
Phone (707) 963-5294

1001 Adams St
Saint Helena, CA 94574

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

999 Adams St
Suite 500
Saint Helena, CA 94574-1148

Mailing address

1001 Adams St
Saint Helena, CA 94574-1107
Phone (707) 968-2865

Other names

  • St. Helena Internal Medicine Other name

Other providers in Saint Helena, CA

All providers in Saint Helena, CA · Internal Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.