NPIMap

Organization Active NPI

Adventist Health California Medical Group, Inc.

Doing business as Vermeil Clinic

  • Family Medicine Physician
  • Calistoga, CA
National Provider Identifier
1407025943
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Doing business as
Vermeil Clinic
Practice address
913 Washington St
Calistoga, CA 94515-1433
Phone
(707) 942-6233
Fax
(707) 942-6382
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

913 Washington St
Calistoga, CA 94515-1433

Mailing address

1572 Railroad Ave
Suite 2
Saint Helena, CA 94574-1169
Phone (707) 968-2809

Other names 1

  • Vermeil Clinic 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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1407025943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 RAILROAD AVE",
            "address_2": "SUITE 2",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741169",
            "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": "913 WASHINGTON ST",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151433",
            "telephone_number": "707-942-6233",
            "fax_number": "707-942-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vermeil Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calistoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.