| Organization Name: | ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC |
| NPI Number: | 1285921007 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAYE A. DONNELLY (SPECIALIST, CONTRACT COMPLIANCE) |
| Mailing Address: | 10 Woodland Rd Saint Helena |
| State: | CA US |
| Postal Code: | 945749554 |
| Phone Number: | 8004544673 |
| Fax Number: | 7079675627 |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084A0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |