NPIMap

Organization Active NPI

Adventist Health California Medical Group, Inc.

Doing business as St. Helena Internal Medicine

  • Internal Medicine Physician
  • Saint Helena, CA
National Provider Identifier
1437474269
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G22053 Issued in CA
Legal business name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Doing business as
St. Helena Internal Medicine
Practice address
6 Woodland Rd
Suite 102
Saint Helena, CA 94574-9501
Phone
(707) 963-8842
Fax
(707) 963-3713
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G22053 CA Primary

Addresses

Primary practice location

6 Woodland Rd
Suite 102
Saint Helena, CA 94574-9501

Mailing address

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

Other names 1

  • St. Helena Internal Medicine 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 (25 of 52)

23 N Main St
Ste 201
Angels Camp, CA 95222
Phone (209) 536-5774

2701 Chester Ave
#201
Bakersfield, CA 93301
Phone (661) 716-1070

2701 Chester Ave
#202
Bakersfield, CA 93301
Phone (661) 716-9410

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

4351 Buena Vis Rd 100
Bakersfield, CA 93311

1500 E Chevy Chase Dr
Ste 401A
Glendale, CA 91206
Phone (818) 863-4444

1505 Wilson Ter
Ste 3
Glendale, CA 91206

1548 Highway 99
Gridley, CA 95948
Phone (309) 242-7098

125 Mall Dr
#A
Hanford, CA 93230

125 Mall Dr
Ste 205
Hanford, CA 93230
Phone (559) 537-0330

125 Mall Dr
Ste 211B
Hanford, CA 93230

125 Mall Dr
Ste 313
Hanford, CA 93230

1524 W Lacey Blvd
Ste 201A
Hanford, CA 93230
Phone (553) 537-0355

1524 W Lacey Blvd
Ste 202
Hanford, CA 93230
Phone (559) 537-0315

460 Greenfield Ave
Ste 1
Hanford, CA 93230
Phone (559) 584-0141

470 Greenfield Ave
Ste 216
Hanford, CA 93230

18990 Coyote Valley Rd
Ste 8
Hidden Valley Lake, CA 95467
Phone (707) 987-8344

1975 Verdugo Blvd
Ste 216
La Canada Flintridge, CA 91011

475 N Forbes St
Lakeport, CA 95453
Phone (707) 263-6346

1235 W Vine St
Lodi, CA 95240
Phone (209) 334-9111

1901 W Kettleman Ln
#A200
Lodi, CA 95242

1901 W Kettleman Ln
Ste 200
Lodi, CA 95242
Phone (209) 334-8540

621 S Ham Ln
Lodi, CA 95242

845 S Fairmont Ave
Ste 11
Lodi, CA 95240
Phone (209) 334-0651

1700 E Cesar E Chavez Ave
#456
Los Angeles, CA 90033

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1437474269",
    "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": "6 WOODLAND RD",
            "address_2": "SUITE 102",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-963-8842",
            "fax_number": "707-963-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "707-968-2809"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G22053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Helena Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Helena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.