Adventist Health Physicians Network
Organization Active NPI Family Medicine Physician · Paradise, CA
NPI 1114582020 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1114582020
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 5125 Skyway
Paradise, CA 95969-5624 - Phone
- (530) 872-2000
- NPI assigned
- May 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (702) 271-4998
Practitioners 5
-
William Duge, MD
-
William N Gonser, M.D.
-
Robert Kelley Otani, M.D.
-
Sameer A Patel, M.D.
-
Daniel Resnick, M.D.
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Gastroenterology Physician |
207RG0100X | |||
| Nephrology Physician |
207RN0300X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Otolaryngology Physician |
207Y00000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X |
Addresses
Primary practice location
5125 Skyway
Paradise, CA 95969-5624
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Other providers in Paradise, CA
- Achieve Charter School
- Adam E Stephens, DDS, Inc.
- Christy D. Adams
- Advantage Health and Wellness Inc
- Adventist Health Clearlake Hospital Inc.
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Amy Ahl-Wright
- Ronald Ainsworth
All providers in Paradise, 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 Dec 20, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.