NPIMap

Organization Active NPI

Adventist Health Physicians Network

  • Hematology & Oncology Physician
  • Simi Valley, CA
National Provider Identifier
1629311543
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
1687 Erringer Rd
Suite 104
Simi Valley, CA 93065-6508
Phone
(805) 583-3006
Fax
(805) 583-0645
NPI assigned
Mar 28, 2013
Last updated
Nov 27, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVENTIST HEALTH PHYSICIANS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Adrian Serna
Title
Cfo
Phone
(916) 865-1865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

1687 Erringer Rd
Suite 104
Simi Valley, CA 93065-6508

Mailing address

1530 E Chevy Chase Dr Ste 110
Glendale, CA 91206-4139
Phone (818) 265-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000175 CA Part B Supplier - Clinic/Group Practice 3274580972 Receives reassigned benefits from 135 practitioners
45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Los Angeles, CA; Moorpark, CA; San Luis Obispo, CA; Simi Valley, CA; Templeton, CA; Glendale, CA; La Canada, CA; Atascadero, CA

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Part of
Adventist Health Physicians

Locations

1687 Erringer Rd
Ste 104
Simi Valley, CA 93065
Phone (805) 583-3006

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1629311543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E CHEVY CHASE DR STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064139",
            "telephone_number": "818-265-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD",
            "address_2": "SUITE 104",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656508",
            "telephone_number": "805-583-3006",
            "fax_number": "805-583-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "enumeration_date": "2013-03-28",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "916-865-1865"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.