NPIMap

Organization Active NPI

Adventist Health California Medical Group, Inc.

Doing business as Hidden Valley Medical Services

  • Specialist
  • Hidden Valley Lake, CA
National Provider Identifier
1982730800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Doing business as
Hidden Valley Medical Services
Practice address
18990 Coyote Valley Road
Suite 8
Hidden Valley Lake, CA 95467
Phone
(707) 987-8395
Fax
(707) 987-8402
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bruce N. Anderson, MDNPI 1942276324
Title
Presidnet
Phone
(707) 963-8802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

18990 Coyote Valley Road
Suite 8
Hidden Valley Lake, CA 95467

Mailing address

PO Box 266
Deer Park, CA 94576-0266
Phone (877) 302-0777

Other names 1

  • Hidden Valley Medical Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health California Medical Group Inc35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982730800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "DEER PARK",
            "state": "CA",
            "postal_code": "945760266",
            "telephone_number": "877-302-0777",
            "fax_number": "732-302-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18990 COYOTE VALLEY ROAD",
            "address_2": "SUITE 8",
            "city": "HIDDEN VALLEY LAKE",
            "state": "CA",
            "postal_code": "95467",
            "telephone_number": "707-987-8395",
            "fax_number": "707-987-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDNET",
        "authorized_official_telephone_number": "707-963-8802",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Valley Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hidden Valley Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.