OrganizationActive
Adventist Health California Medical Group, Inc.
NPI 1831486653 · Cardiovascular Disease Physician · Clearlake, CA
Provider details
- NPI number
- 1831486653
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kaye Donnelly, Specialist, Contract Compliance(707) 968-2809
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15250 Lakeshore Dr
Suite C
Clearlake, CA 95422-8107
Phone: (707) 995-3764
Fax: (707) 995-0904
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Adams St
Saint Helena, CA 94574-1107
Registry dates
- Enumerated
- 2011-06-30
- Last updated
- 2011-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.