ADVENTIST HEALTH UKIAH VALLEY
NPI 1780754374
Clinic/Center - Rural Health in Ukiah, CA

Q: What is Ukiah Adventist Hosptial's NPI number?

The NPI number for Ukiah Adventist Hosptial is 1780754374. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Adventist Health Ukiah Valley.

Q: What is Ukiah Adventist Hosptial's specialty?

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

Active since November 09, 2006CLIA Certified · 2 labs

1165 S DORA ST, SUITE B-1, UKIAH, CA 95482(707) 463-8000(707) 462-1111 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 28, 2023, Jan 6, 2022, Jan 10, 2018 (3 updates tracked since 2018).

On this page

About Adventist Health Ukiah Valley NPPES

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

ADVENTIST HEALTH UKIAH VALLEY (NPI 1780754374) is a healthcare organization registered as a rural health in Ukiah, California and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Judson Howe, President, as its authorized official.

NPPES Registry Identity

NPI1780754374

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameUKIAH ADVENTIST HOSPTIAL

Location Address1165 S DORA ST, SUITE B-1Ukiah, CA 95482-8325

Mailing AddressPo Box 888867Los Angeles, CA 90088-8867

Phone(707) 463-8000

Fax(707) 462-1111

Organization SubpartNo

Authorized OfficialJudson HowePresident · (707) 456-3010

Enumeration DateNovember 9, 2006

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1780754374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in CA · 110000095

1165 S DORA ST, Ukiah, CA 95482

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Other Names 1

Doing Business AsAdventist Health Ukiah Valley

Other Identifiers 1

MedicaidHSP40301FCA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2295148

Adventist Health Ukiah Valley (ahuv) Urology Clinic · Ukiah, CA

Active · expires Dec 5, 2027

CLIA Number05D2295148

Laboratory TypeHboc

Certificate Effective DateDecember 6, 2025

Certificate Expiration DateDecember 5, 2027

Laboratory DirectorNaum Spiegel

Laboratory Phone(707) 467-4325

Laboratory LocationAdventist Health Ukiah Valley (ahuv) Urology Clinic240 Hospital Drive, Ukiah, CA 95482

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0612511

Adventist Health Ukiah Valley Rural Health Clinic · Ukiah, CA

Active · expires Nov 15, 2026

CLIA Number05D0612511

Laboratory TypeRural Health Clinic

Certificate Effective DateNovember 16, 2024

Certificate Expiration DateNovember 15, 2026

Laboratory DirectorEric J. Bauer

Laboratory Phone(707) 463-7341

Laboratory LocationAdventist Health Ukiah Valley Rural Health Clinic260 Hospital Dr, Ukiah, CA 95482

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

DR. LAURENCE WILBUR HARTLEY MD

Obstetrics & Gynecology (Gynecology)

1165 S DORA ST, SUITE G 2
UKIAH, CA 95482

Mendocino County (707) 463-5535

MR. THOMAS EUGENE KILKENNY JR. MD

Orthopaedic Surgery

1165 S DORA ST, SUITE C1
UKIAH, CA 95482

Mendocino County (707) 468-0471

DR. QI ZHANG M.D.

Otolaryngology

1165 S DORA ST, C-2
UKIAH, CA 95482

Mendocino County (707) 462-8855

ALDIS BALTINS

Orthopaedic Surgery

1165 S DORA ST, SUITE C1
UKIAH, CA 95482

Mendocino County (707) 468-0471

ADVENTIST HEALTH PHYSICIANS NETWORK

Otolaryngology

1165 S DORA ST, SUITE C-2
UKIAH, CA 95482

Mendocino County (707) 462-8855

GARY WYATT ANDRUS

Audiologist-Hearing Aid Fitter

1165 S DORA ST, STE B2
UKIAH, CA 95482

Mendocino County (707) 468-0400

MARK A BISIGNANI MD

Radiology (Radiation Oncology)

1165 S DORA ST
UKIAH, CA 95482

Mendocino County (707) 463-3636

ADVENTIST HEALTH PHYSICIANS NETWORK

Ophthalmology

1165 S DORA ST, SUITE B-1
UKIAH, CA 95482

Mendocino County (707) 462-0581

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 Ukiah Adventist Hosptial's NPI number?

The NPI number for Ukiah Adventist Hosptial is 1780754374. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Adventist Health Ukiah Valley.

Where is Ukiah Adventist Hosptial located?

Ukiah Adventist Hosptial is located at 1165 S Dora St Suite B-1, Ukiah, CA 95482. The listed phone number is (707) 463-8000.

What is Ukiah Adventist Hosptial's specialty?

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

Does Ukiah Adventist Hosptial hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ukiah Adventist Hosptial was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.