Active NPI
Adventist Health Physicians Network
- Cardiovascular Disease Physician
- Lodi, CA
National Provider Identifier
1073193603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 845 S Fairmont Ave Ste 11
Lodi, CA 95240-5113 - Phone
- (209) 334-0651
- NPI assigned
- Apr 8, 2021
- Last updated
- Dec 20, 2022
- 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
- (702) 271-4998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
845 S Fairmont Ave Ste 11
Lodi, CA 95240-5113
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
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 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Medical Physician Assistant
- Sacramento, CA
- NPI 1831609627
-
- Orthopaedic Surgery Physician
- Angels Camp, CA
- NPI 1811059918
-
- Diagnostic Radiology Physician
- Marietta, GA
- NPI 1679795538
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1972713188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671494400000",
"number": "1073193603",
"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": "845 S FAIRMONT AVE STE 11",
"city": "LODI",
"state": "CA",
"postal_code": "952405113",
"telephone_number": "209-334-0651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-08",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A",
"authorized_official_last_name": "NAHAPETIAN",
"authorized_official_first_name": "ARBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-271-4998"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.