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ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP INC. NPI 1346565173


NPI Information

NPI: 1346565173
Provider Name: ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.

Doing Business As: ST. HELENA FAMILY PRACTICE CLEARLAKE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
15322 LAKESHORE DR
SUITE 201
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-2920
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ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. is a family medicine in Clearlake, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. NPI is 1346565173. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Helena Family Practice Clearlake.

The provider's business location address is:

15322 LAKESHORE DR
SUITE 201
CLEARLAKE, CA
ZIP 95422-814
Phone: (707) 994-2920
Fax: (707) 994-2917

The provider's authorized official is Kaye A Donnelly .
The authorized official title is Credentialing Coordinator and has the following contact phone number (707) 968-2809.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 4/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG45994CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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