ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
NPI 1154646982
Internal Medicine - Cardiovascular Disease in Clearlake, CA
NPI Status: Active since April 05, 2010
Contact Information
15322 LAKESHORE DR
SUITE 203
CLEARLAKE, CA
ZIP 95422
Phone: (707) 968-2809
Fax: (707) 963-9185
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 05D2169110
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 07-15-2027
About ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Adventist Health California Medical Group, Inc., an internist established in Clearlake, California operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1154646982 assigned on April 2010. The practitioner's primary taxonomy code is 207RC0000X with license number C32535 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Adventist Health California Medical Group, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kaye A Donnelly (Credentialing Coordinator)
- NPI
- 1154646982
- Provider Name
- ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 15322 LAKESHORE DR SUITE 203 CLEARLAKE, CA 95422
- Location Phone
- (707) 968-2809
- Location Fax
- (707) 963-9185
- Mailing Address
- 1572 RAILROAD AVE SUITE 2 SAINT HELENA, CA 94574
- Mailing Phone
- (707) 968-2809
- Mailing Fax
- (707) 963-9185
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-05-2010
- Last Update Date
- 04-05-2010
- Code Navigator
An internist like Adventist Health California Medical Group, Inc. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C32535
- License State
- CA
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208800000X | Allopathic & Osteopathic Physicians | Urology | A106559 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2169110
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- July 16, 2025
- Certificate Expiration Date
- July 15, 2027
- Laboratory Director
- PARVIZ TALEBI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adventist Health California Medical Group, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154646982, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154646982, enumerated as an "organization" on April 05, 2010.
The provider is located at 15322 LAKESHORE DR SUITE 203 CLEARLAKE, CA 95422 and the phone number is (707) 968-2809.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
