Active NPI
Adventist Health Physicians Network
- Radiation Oncology Clinic/Center
- Santa Rosa, CA
National Provider Identifier
1871938175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 525 Doyle Park Dr
Santa Rosa, CA 95405-4556 - Phone
- (707) 967-5752
- Fax
- (707) 967-5722
- NPI assigned
- May 1, 2013
- Last updated
- Jan 9, 2018
- 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
- Mr. Adrian Serna
- Title
- C.F.O.
- Phone
- (916) 865-1865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | NU | Primary |
Addresses
Primary practice location
525 Doyle Park Dr
Santa Rosa, CA 95405-4556
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 DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Ukiah, CA
- NPI 1134783475
-
- Medical Oncology Physician
- Saint Helena, CA
- NPI 1275516171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515456000000",
"number": "1871938175",
"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": "525 DOYLE PARK DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054556",
"telephone_number": "707-967-5752",
"fax_number": "707-967-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2018-01-09",
"status": "A",
"authorized_official_last_name": "SERNA",
"authorized_official_first_name": "ADRIAN",
"authorized_official_title_or_position": "C.F.O.",
"authorized_official_telephone_number": "916-865-1865",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Naveen Kumar Reddy Admala, DMD
- Advanced Surgery Institute, LLC
- Advanced Vision Group, Inc. (Advanced Vision Optometry)
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Advocacy Home Nursing, Inc
- Arianne Renee Advocate, MA, MFTI
- Aesthetic Laser & Vein Center of the North Bay
- Ty Preston Affleck, MD
- Affordable Homecare Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.