Adventist Health Physicians Network
Organization Active NPI Family Medicine Physician · Lemoore, CA
NPI 1104123264 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1104123264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 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
- Organization subpart
- No
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (818) 409-8000
Corporate family (same tax ID) 24
Practitioners 3
-
Ankur Ved Gupta, M.D.
-
Sandra Navarro-Gonzalez, FNP-C
-
Daniel Su, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0861710 | Adventist Health Physicians Network | Certificate of waiver | Jan 23, 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
- Tax ID family
- Clafiornia Med FD
Locations
9508 Stockdale Hwy
Ste 120
Bakersfield, CA 93311
Phone (661) 735-1710
9508 Stockdale Hwy
Ste 110
Bakersfield, CA 93311
Phone (661) 516-1516
125 Mall Dr
Ste 211A
Hanford, CA 93230
Phone (559) 537-0330
1524 W Lacey Blvd
Ste 201
Hanford, CA 93230
Phone (559) 587-1100
1524 W Lacey Blvd
Ste 202A
Hanford, CA 93230
125 Mall Dr
Ste 211B
Hanford, CA 93230
1524 W Lacey Blvd
Hanford, CA 93230
Phone (559) 537-0284
1524 W Lacey Blvd
Ste 206
Hanford, CA 93230
Phone (559) 583-4507
1524 W Lacey Blvd
Ste 202B
Hanford, CA 93230
Phone (559) 583-4510
18990 Coyote Valley Rd
Ste 5
Hidden Valley Lake, CA 95467
Phone (707) 967-5721
1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441
1701 E Cesar E Chavez Ave
Ste 456
Los Angeles, CA 90033
Phone (323) 263-9866
77 Casa St
Ste 102
Sn Luis Obisp, CA 93405
Phone (805) 546-7698
2103 E Prosperity Ave
Tulare, CA 93274
Phone (559) 605-2155
3335 S Fairway St
Visalia, CA 93277
Phone (559) 734-1321
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
784 N Lemoore Ave
Lemoore, CA 93245-2329
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 Lemoore, CA
- Mary Saniout Abdelnour
- Delia Acosta-Perez
- Acuworld Health Clinic, Inc.
- Taylor Adams
- Anthony Agbagwu
- Sophia Aguilar
- Genevieve Aichelman
- Alireza Aliabadi
- Paul David Allen
All providers in Lemoore, CA · Family Medicine 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.