ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
NPI 1962492876
Clinic/Center - Rural Health in Kelseyville, 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 24, 2005

5290 STATE ST, KELSEYVILLE, CA 95451(707) 279-8813(707) 279-2241 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2025, Jun 18, 2025, Dec 20, 2022 and 1 more (4 updates tracked since 2022).

On this page

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 1962492876), doing business as Adventist Health Clear Lake, is a healthcare organization registered as a rural health in Kelseyville, California and active in the NPI registry since October 2005. The organization lists Parker J Pridgen, President, as its authorized official.

NPPES Registry Identity

NPI1962492876

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

Location Address5290 STATE STKelseyville, CA 95451-9450

Mailing AddressPo Box 888837Los Angeles, CA 90088-8837

Phone(707) 279-8813

Fax(707) 279-2241

Organization SubpartNo

Authorized OfficialParker J PridgenPresident · (707) 467-5200

Enumeration DateOctober 24, 2005

Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1962492876 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 · 110000174

5290 STATE ST, Kelseyville, CA 95451

Open in Google Maps ↗

Other Names 1

Doing Business AsAdventist Health Clear Lake

Other Identifiers 2

OtherZZZ49286ZCA · Blue Shield

MedicaidRHM19999GCA

Other Providers at the Same Location NPPES

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

EUNICE M MENTGES FNP-BC

Nurse Practitioner (Family)

5290 STATE ST
KELSEYVILLE, CA 95451

Lake County (707) 279-8813

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 1962492876. It was assigned to this organization in the NPPES registry on October 24, 2005. 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 5290 State St, Kelseyville, CA 95451. The listed phone number is (707) 279-8813.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.