NPIMap

Organization Active NPI

Adventist Health Physicians Network

  • Family Medicine Physician
  • Lemoore, CA
National Provider Identifier
1104123264
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
784 N Lemoore Ave
Lemoore, CA 93245-2329
Phone
(559) 924-5358
NPI assigned
Feb 24, 2011
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

784 N Lemoore Ave
Lemoore, CA 93245-2329

Mailing address

PO Box 888794
Los Angeles, CA 90088-8794

Electronic endpoints 1

TypeEndpointUseAffiliation
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 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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0861710Adventist Health Physicians Network784 N Lemoore Ave, Lemoore, CA 93245Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Adventist Health Physicians166 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

23 N Main St
#101
Angels Camp, CA 95222
Phone (209) 736-9130

9508 Stockdale Hwy
Ste 110
Bakersfield, CA 93311
Phone (661) 516-1516

9508 Stockdale Hwy
Ste 120
Bakersfield, CA 93311
Phone (661) 735-1710

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

15322 Lakeshore Dr
Ste 101
Clearlake, CA 95422
Phone (707) 461-7986

1500 E Chevy Chase Dr
#401B
Glendale, CA 91206
Phone (323) 450-5595

125 Mall Dr
Ste 303
Hanford, CA 93230
Phone (559) 537-0310

1524 W Lacey Blvd
Ste 102
Hanford, CA 93230
Phone (559) 583-4502

1524 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 583-4503

1524 W Lacey Blvd
Ste 202A
Hanford, CA 93230

470 Greenfield Ave
Ste 303
Hanford, CA 93230
Phone (559) 537-0325

784 N Lemoore Ave
Lemoore, CA 93245
Phone (559) 924-5358

621 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-8514

999 S Fairmont Ave
Ste 50
Lodi, CA 95240
Phone (209) 334-8509

1419 N Acacia Ave
#101
Reedley, CA 93654
Phone (559) 391-3160

1419 N Acacia Ave
Ste 101
Reedley, CA 93654
Phone (559) 391-3160

6 Woodland Rd
Ste 101
Saint Helena, CA 94574
Phone (707) 963-5236

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: 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)…

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1104123264",
    "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": "784 N LEMOORE AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452329",
            "telephone_number": "559-924-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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": "784 N Lemoore Ave",
            "city": "Lemoore",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932452329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lemoore, CA

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.

Verify at the official NPI Registry.