ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. (NPI# 1457676280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457676280 |
| Entity Type | Organization |
| Organization Name | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC. |
| Other Organization Name | COON JOINT REPLACEMENT INSTITUTE |
| Practice Address |
2540 Sister Mary Columba Dr Red Bluff CA 96080-4327 |
| Mailing Address |
1572 Railroad Ave Suite 2 Saint Helena CA 94574-1169 |
| Practice Telephone | 7079680670 |
| Practice Fax Number | 7079689580 |
| Mailing Telephone | 7079682809 |
| Mailing Fax Number | 7079639185 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Authorized Official Name | KAYE A DONNELLY (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7079682809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G86235 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Coon Joint Replacement Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486653 | Adventist Health California Medical Group, Inc. | Internal Medicine | 15250 Lakeshore Dr, Suite C, Clearlake, CA 95422-8107 | 2011-06-30 |
| 1558658377 | Adventist Health California Medical Group, Inc. | Urology | 821 S. St. Helena Highway, Saint Helena, CA 94574-2266 | 2011-06-30 |
| 1720303084 | Adventist Health California Medical Group, Inc. | Otolaryngology | 1485 Main St, Suite 101, Saint Helena, CA 94574-1850 | 2010-03-30 |
| 1982730800 | Adventist Health California Medical Group, Inc. | Specialist | 18990 Coyote Valley Road, Suite 8, Hidden Valley Lake, CA 95467 | 2007-02-26 |
| 1154467009 | Adventist Health California Medical Group, Inc. | Specialist | 1001 Adams St, Suite 102, Saint Helena, CA 94574-1107 | 2007-01-29 |
| 1336428390 | Adventist Health California Medical Group, Inc. | Internal Medicine | 18990 Coyote Valley Rd, Suite 10, Hidden Valley Lake, CA 95467-8337 | 2011-08-09 |
| 1063791028 | Adventist Health California Medical Group, Inc. | Family Medicine | 21337 Bush Street, Middletown, CA 95461 | 2011-08-09 |
| 1699054650 | Adventist Health California Medical Group, Inc. | Family Medicine | 18990 Coyote Valley Rd, Suite 5, Hidden Valley Lake, CA 95467-8337 | 2011-08-09 |
| 1679852958 | Adventist Health California Medical Group, Inc. | Obstetrics & Gynecology | 5290 State St, Kelseyville, CA 95451-9450 | 2011-08-04 |
| 1093093643 | Adventist Health California Medical Group, Inc. | Otolaryngology | 3230 Beard Rd, Suite 2, Napa, CA 94558-3673 | 2011-08-01 |
| Street Address |
2540 SISTER MARY COLUMBA DR |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720096449 | Russell Wayne Doyle | Physician Assistant | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2006-08-04 |
| 1326577552 | Kati Boomgarden | Registered Nurse | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2017-06-10 |
| 1679988950 | Rolling Hills Clinic | Clinic/Center | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2014-06-25 |
| 1811157373 | Andrew R. Wise | Dentist | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2008-06-09 |
| 1770781973 | John E. Kemp,m.d.,inc. | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2007-07-10 |
| 1871797860 | Orthopedic Surgical Institute, Inc | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2007-06-13 |
| 1750498523 | James S Umber | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080 | 2006-08-25 |
| 1932214244 | Thomas M Coon | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912030560 | Robert Raymond Chase | Orthopaedic Surgery | 2480 Sr Mary Columba Drive, Red Bluff, CA 96080 | 2007-03-13 |
| 1235164138 | Bradley David Smith | Orthopaedic Surgery | 2528 Sister Mary Columbia Drive, Red Bluff, CA 96080-4327 | 2006-07-11 |
| 1952377210 | Victor A Szanto | Orthopaedic Surgery | 345 Hickory St, Red Bluff, CA 96080-2702 | 2006-02-27 |
| 1245211507 | Michael S Mikulecky | Orthopaedic Surgery | 2528 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2005-11-14 |
| 1770781973 | John E. Kemp,m.d.,inc. | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2007-07-10 |
| 1871797860 | Orthopedic Surgical Institute, Inc | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2007-06-13 |
| 1245342476 | Thomas E Daniel | Orthopaedic Surgery | 2528 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2006-09-01 |
| 1750498523 | James S Umber | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080 | 2006-08-25 |
| 1932214244 | Thomas M Coon | Orthopaedic Surgery | 2540 Sister Mary Columba Dr, Red Bluff, CA 96080 | 2006-08-20 |
| 1811912066 | William Knox Borgsmiller | Orthopaedic Surgery | 2528 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2006-07-12 |
| Find all providers in RED BLUFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.