Adventist Health Physicians Network
Organization Active NPI Pediatric Endocrinology Physician · Los Angeles, CA
NPI 1669880787 · NPPES record last updated Nov 27, 2017
Key facts
- NPI
- 1669880787
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Endocrinology Physician 2080P0205X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 1700 E Cesar E Chavez Ave
#3000
Los Angeles, CA 90033-2424 - Phone
- (323) 987-1200
- Fax
- (323) 987-1212
- NPI assigned
- Aug 1, 2014
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- Cfo
- Phone
- (916) 865-1865
Other NPIs on the same Medicare enrollment 45
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
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Allergy/Immunology Physician |
2080P0201X | |||
| Pediatric Endocrinology Physician |
2080P0205X | Yes | ||
| Pediatric Infectious Diseases Physician |
2080P0208X |
Addresses
Primary practice location
1700 E Cesar E Chavez Ave
#3000
Los Angeles, CA 90033-2424
Mailing address
1530 E Chevy Chase Dr Ste 110
Glendale, CA 91206-4139
Phone (818) 265-5411
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All providers in Los Angeles, CA · Pediatric Endocrinology 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.