Active NPI
Adventist Health Physicians Network
- Surgery Physician
- Pleasanton, CA
National Provider Identifier
1700343589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 5725 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-4007 - Phone
- (925) 469-6274
- NPI assigned
- Feb 27, 2019
- Last updated
- Feb 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrian Serna
- Title
- C.F.O
- Phone
- (916) 865-1887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
5725 W Las Positas Blvd Ste 200
Pleasanton, CA 94588-4007
Mailing address
PO Box 398794
San Francisco, CA 94139-8794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551225600000",
"number": "1700343589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398794",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941398794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 W LAS POSITAS BLVD STE 200",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884007",
"telephone_number": "925-469-6274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A",
"authorized_official_last_name": "SERNA",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "C.F.O",
"authorized_official_telephone_number": "916-865-1887"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.