Adventist Health Physicians Network
Organization Active NPI Family Medicine Physician · Simi Valley, CA
NPI 1639717622 · NPPES record last updated Dec 20, 2019
Key facts
- NPI
- 1639717622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 135 Macaw LN Ste 210
Simi Valley, CA 93065-3153 - Phone
- (805) 306-0222
- NPI assigned
- Dec 20, 2019
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- Cfo
- Phone
- (916) 865-1887
Other NPIs on the same Medicare enrollment 45
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
135 Macaw LN Ste 210
Simi Valley, CA 93065-3153
Mailing address
PO Box 398794
San Francisco, CA 94139-8794
Other providers in Simi Valley, CA
- Advantageous Hospice Inc
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Simi Valley, CA · Family Medicine 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 Dec 20, 2019. 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.