NPIMap

Organization Active NPI

Adventist Health California Medical Group, Inc.

Doing business as Coon Joint Replacement Institute

  • Orthopaedic Surgery Physician
  • Saint Helena, CA
National Provider Identifier
1568786408
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G86235 Issued in CA
Legal business name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Doing business as
Coon Joint Replacement Institute
Practice address
6 Woodland Rd
Suite 202
Saint Helena, CA 94574-9501
Phone
(707) 968-0670
Fax
(707) 968-9580
NPI assigned
Mar 22, 2010
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 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
Orthopaedic Surgery Physician 207X00000X G86235 CA Primary

Addresses

Primary practice location

6 Woodland Rd
Suite 202
Saint Helena, CA 94574-9501

Mailing address

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

Other names 1

  • Coon Joint Replacement Institute 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

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1568786408",
    "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 202",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749501",
            "telephone_number": "707-968-0670",
            "fax_number": "707-968-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "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": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G86235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coon Joint Replacement Institute",
            "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 Mar 22, 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.