NPIMap

Adventist Health Physicians Network

Organization Active NPI Urology Physician · Ukiah, CA

NPI 1649909458 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1649909458
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
240 Hospital Dr
Ukiah, CA 95482-4558
Phone
(707) 462-1928
Fax
(707) 462-8642
NPI assigned
Jun 7, 2022
Organization subpart
No

Authorized official

Name
Adrian Serna
Title
President
Phone
(818) 409-8000

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Clafiornia Med FD (166 organizations share this tax ID)

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X Yes

Addresses

Primary practice location

240 Hospital Dr
Ukiah, CA 95482-4558

Mailing address

PO Box 888794
Los Angeles, CA 90088-8794

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Ukiah, CA

All providers in Ukiah, CA · Urology Physician in California

Sources for this page

Verify at the official NPI Registry.