Active NPI
Adventist Health Physicians Network
- Surgery Physician
- Modesto, CA
National Provider Identifier
1023575693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
- Last updated
- Sep 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (818) 409-8000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Surgery Physician | 208600000X | Primary |
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 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2165849 | Adventist Health Physicians Network | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery of the Spine Physician
- Stockton, CA
- NPI 1437104478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1023575693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888794",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900888794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ROSEBURG AVE STE B1",
"city": "MODESTO",
"state": "CA",
"postal_code": "953505200",
"telephone_number": "209-536-5776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-01",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "NAHAPETIAN",
"authorized_official_first_name": "ARBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-409-8000"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "200 W Roseburg Ave Ste B1",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953505200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Modesto, CA
- Advanced Medical Solutions, LLC
- Advanced Optometric Services Inc
- Advanced Sleep and Gastroenterology Laboratories, Inc
- Advanced Sleep and Gastroenterology Laboratories,Inc.
- Advanced Sleep Disorder Center, Inc.
- Aegis Treatment Centers, LLC
- Affection Health Care LLC
- Affection Health Care, a Professional Nursing Corporation
- Eunice S Afisivalu
- Mohammed Afief Afzal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.