Adventist Health Physicians Network
Organization Active NPI Medical Specialty Clinic/Center · Willits, CA
NPI 1962827832 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1962827832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 88 Madrone St
Willits, CA 95490-4249 - Phone
- (707) 459-6115
- Fax
- (707) 459-1345
- NPI assigned
- Feb 28, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH PHYSICIANS NETWORK
Authorized official
- Name
- Mr. Adrian Serna
- Title
- C.F.O.
- Phone
- (916) 865-1865
Practitioners 1
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
- Part of
- Clafiornia Med FD
Locations
88 Madrone St
Willits, CA 95490
Phone (707) 459-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
88 Madrone St
Willits, CA 95490-4249
Mailing address
PO Box 398794
San Francisco, CA 94139-8794
Other providers in Willits, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Align Orthotics and Prosthetics
- Silvia Almazan Saldana
- Rosalie Ann Anchordoguy
- Heather Anderson
- Richard R Anderson
All providers in Willits, CA · Medical Specialty Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2018. 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.