Adventist Health Physicians Network
Organization Active NPI Orthopaedic Surgery Physician · Selma, CA
NPI 1376914788 · NPPES record last updated Nov 27, 2017
Key facts
- NPI
- 1376914788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 1142 Rose Ave
Suite B
Selma, CA 93662-3251 - Phone
- (559) 856-6180
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- Cfo
- Phone
- (916) 865-1865
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Clafiornia Med FD
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
1142 Rose Ave
Suite B
Selma, CA 93662-3251
Mailing address
1530 E Chevy Chase Dr Ste 110
Glendale, CA 91206-4139
Phone (818) 265-5411
Other providers in Selma, CA
- Sonya Elvira Acevedo
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Navid Ahmadian
- Jacqueline Alarrazabal
- Kimberly Alfors
- Irene Maribel Allen
All providers in Selma, CA · Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.