NPIMap

Adventist Health Physicians Network

Organization Active NPI Dermatology Physician · Visalia, CA

NPI 1083314256 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1083314256
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
5530 Avenida de Los Robles
Visalia, CA 93291
Phone
(559) 738-7571
NPI assigned
Mar 7, 2023
Organization subpart
No

Authorized official

Name
Arby Nahapetian
Title
President
Phone
(702) 271-4998

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Clafiornia Med FD (166 organizations share this tax ID)

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)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207N00000X Yes
Plastic Surgery Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 208200000X
Psychiatry Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 2084P0800X

Addresses

Primary practice location

5530 Avenida de Los Robles
Visalia, CA 93291

Mailing address

PO Box 888794
Los Angeles, CA 90088-8794

Other providers in Visalia, CA

All providers in Visalia, CA · Dermatology Physician in California

Sources for this page

Verify at the official NPI Registry.