Adventist Health Physicians Network

Key facts

NPI: 1023575693
Entity type: Organization (NPI type 2)
Primary specialty: Surgery Physician 208600000X
Legal business name: ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address: 200 W Roseburg Ave Ste B1
Modesto, CA 95350-5200
Phone: (209) 536-5776
NPI assigned: Mar 1, 2019
Organization subpart: No

Authorized official

Name: Arby Nahapetian
Title: President
Phone: (818) 409-8000

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Anh X Le, MD Orthopaedic Surgery of the Spine Physician · Stockton, CA · NPI 1437104478

NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
05D2165849	Adventist Health Physicians Network 200 West Roseburg Avenue, Modesto, CA 95350	Certificate of waiver	May 6, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050407000633	CA	Part B Supplier - Clinic/Group Practice	3274580972	Receives reassigned benefits from 808 practitioners This NPI is an additional NPI on the enrollment

National Provider Directory

Networks

BSC 65 PLUS INDIVIDUAL MAPD
Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator Group: 193200000X MULTI-SPECIALTY GROUP	171M00000X
Surgery Physician Group: 193200000X MULTI-SPECIALTY GROUP	208600000X			Yes

Addresses

Primary practice location

200 W Roseburg Ave Ste B1
Modesto, CA 95350-5200

Mailing address

PO Box 888794
Los Angeles, CA 90088-8794

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service	Other	Bluemark LLC / Office Ally

Other providers in Modesto, CA

All providers in Modesto, CA · Surgery Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.