Adventist Health Physicians Network
Organization Active NPI Family Medicine Physician · Tulare, CA
NPI 1962043950 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1962043950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 1090 N Cherry St
Tulare, CA 93274-2251 - Phone
- (559) 605-2155
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- Cfo
- Phone
- (916) 865-1887
Corporate family (same tax ID) 19
Practitioners 4
-
Jon Knudsen, NP
-
Thu-Ba Leba, MD
-
Frederica S. Lofquist, M.D.
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 |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1090 N Cherry St
Tulare, CA 93274-2251
Mailing address
PO Box 398794
San Francisco, CA 94139-8794
Other providers in Tulare, CA
- Valeria Aceves
- William F Adkins
- Adventist Family Medicine Residency Tulare
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Tulare
- Megan Rose Aguallo
- Chennell Lynn Aguilar
- Delia Vanessa Aguilar
All providers in Tulare, CA · Family Medicine 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 Oct 1, 2019. 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.