Provider profile · NPI 1154646982
Adventist Health California Medical Group, Inc.
Internal Medicine, Cardiovascular Disease · Clearlake, CA · NPI 1154646982 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Apr 5, 2010
License(s)
A106559 (CA), C32535 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 15322 LAKESHORE DR SUITE 203 | Clearlake, CA 95422-9814 | 707-968-2809 |
| MAILING | 1572 RAILROAD AVE SUITE 2 | Saint Helena, CA 94574-1169 | 707-968-2809 |
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