ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
NPI 1912092792
Clinic/Center - Rural Health in Paradise, CA

Q: 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.

Active since October 04, 2006CLIA 05D0926893 · Microscopy

5125 SKYWAY, PARADISE, CA 95969(530) 872-2000(530) 876-7952 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Jun 18, 2025, Dec 20, 2022 and 4 more (7 updates tracked since 2017).

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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 1912092792), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Paradise, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through October 7, 2027 and lists Parker J Pridgen, President, as its authorized official.

NPPES Registry Identity

NPI1912092792

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

Location Address5125 SKYWAYParadise, CA 95969-5624

Mailing AddressPo Box 888837Los Angeles, CA 90088-8837

Phone(530) 872-2000

Fax(530) 876-7952

Organization SubpartNo

Authorized OfficialParker J PridgenPresident · (707) 467-5200

Enumeration DateOctober 4, 2006

Last NPPES UpdateSeptember 15, 20257 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1912092792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

5125 SKYWAY, Paradise, CA 95969

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Other Names 1

Doing Business AsAdventist Health Clear Lake

Other Identifiers 1

MedicaidRHM08604FCA

CLIA Laboratory Certificates CMS CLIA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0926893

Adventist Health Clearlake Hospital, Inc Dba Adventist Health Clear Lake · Paradise, CA

Active · expires Oct 7, 2027

CLIA Number05D0926893

Laboratory TypeRural Health Clinic

Certificate Effective DateOctober 8, 2025

Certificate Expiration DateOctober 7, 2027

Laboratory DirectorTheodore E. Zwerdling

Laboratory Phone(707) 995-5778

Laboratory LocationAdventist Health Clearlake Hospital, Inc Dba Adventist Health Clear Lake5125 Skyway, Paradise, CA 95969

CLIA data matches this NPI record on: Address 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 20

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

DOUGLAS L. EDGAR P.A.

Physician Assistant