Adventist Health Physicians Network
Organization Active NPI Family Medicine Physician · Colusa, CA
NPI 1972957520 · NPPES record last updated Jan 9, 2018
Key facts
- NPI
- 1972957520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 151 E Webster St
Colusa, CA 95932-2949 - Phone
- (530) 458-5003
- NPI assigned
- Apr 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Adrian Serna
- Title
- C.F.O
- Phone
- (916) 865-1865
Practitioners 1
-
Vineet Gupta, 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
Locations
151 E Webster St
Colusa, CA 95932
Phone (530) 458-4250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | |||
| Family Medicine Physician |
207Q00000X | Yes | ||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X |
Addresses
Primary practice location
151 E Webster St
Colusa, CA 95932-2949
Mailing address
PO Box 398794
San Francisco, CA 94139-8794
Other providers in Colusa, CA
- Maira Aceves
- Michael Henry Acosta
- Julie E Allen
- Graciela Alvernaz
- American Advanced Gastroenterology Inc
- Ampla Health
- Haley Amundson
All providers in Colusa, 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 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.