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ADVENTIST HEALTH CLEARLAKE HOSPITAL INC
NPI 1477104099
Clinic/Center - Rural Health in Clearlake, CA

Active since September 25, 2019
15322 LAKESHORE DRIVE, SUITE 101, 102 AND 201, CLEARLAKE, CA 95422(707) 461-7986 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2025, Jun 18, 2025, Dec 20, 2022 and 2 more (5 updates tracked since 2019).

About Adventist Health Clearlake Hospital Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC (NPI 1477104099), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Clearlake, California and active in the NPI registry since September 2019. The organization lists Parker J Pridgen, President, as its authorized official.

NPPES Registry Identity

NPI1477104099
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameADVENTIST HEALTH CLEARLAKE HOSPITAL INC
Location Address15322 LAKESHORE DRIVE, SUITE 101, 102 AND 201Clearlake, CA 95422
Mailing AddressPo Box 888837Los Angeles, CA 90088-8837
Phone(707) 461-7986
Organization SubpartNo
Authorized OfficialParker J PridgenPresident · (707) 467-5200
Enumeration DateSeptember 25, 2019
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1477104099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
15322 LAKESHORE DRIVE, Clearlake, CA 95422
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Other Names 1

Doing Business AsAdventist Health Clear Lake

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RJ RINGROSE DDS INC
Dentist (General Practice)
15322 LAKESHORE DRIVE, SUITE 104
CLEARLAKE, CA 95422
Lake County (707) 994-6050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adventist Health Clearlake Hospital Inc's NPI number?

The NPI number for Adventist Health Clearlake Hospital Inc is 1477104099. It was assigned to this organization in the NPPES registry on September 25, 2019. The provider is doing business as Adventist Health Clear Lake.

Where is Adventist Health Clearlake Hospital Inc located?

Adventist Health Clearlake Hospital Inc is located at 15322 Lakeshore Drive Suite 101, 102 And 201, Clearlake, CA 95422. The listed phone number is (707) 461-7986.

What is Adventist Health Clearlake Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Adventist Health Clearlake Hospital Inc was last updated on September 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.