Adventist Health Physicians Network
Organization Active NPI Neurology Physician · Selma, CA
NPI 1669803003 · NPPES record last updated Nov 27, 2017
Key facts
- NPI
- 1669803003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 2256 Dockery Ave
Suite #B
Selma, CA 93662-3873 - Phone
- (559) 856-6170
- Fax
- (559) 856-6172
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- C.F.O
- Phone
- (916) 865-1865
Corporate family (same tax ID) 24
Practitioners 1
-
Pamela M. G. Madala, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050407000633 | CA | Part B Supplier - Clinic/Group Practice | 3274580972 |
Receives reassigned benefits from 808 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Clafiornia Med FD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
2256 Dockery Ave
Suite #B
Selma, CA 93662-3873
Mailing address
1530 E Chevy Chase Dr Ste 110
Glendale, CA 91206-4139
Phone (818) 265-5411
Other providers in Selma, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Navid Ahmadian
- Jacqueline Alarrazabal
- Kimberly Alfors
- Irene Maribel Allen
- Juan Antonio Alvarez
All providers in Selma, CA · Neurology 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 Nov 27, 2017. 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.