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Adventist Health Physicians Network

Organization Active NPI Obesity Medicine (Family Medicine) Physician · Bakersfield, CA

NPI 1194125963 · NPPES record last updated Jan 5, 2018

Key facts

NPI
1194125963
Entity type
Organization (NPI type 2)
Primary specialty
Obesity Medicine (Family Medicine) Physician 207QB0002X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
1524 27TH St
101
Bakersfield, CA 93301-2055
Phone
(661) 716-9499
NPI assigned
Aug 29, 2014
Organization subpart
No

Authorized official

Name
Adrian Serna
Title
Cfo
Phone
(916) 865-1865

Corporate family (same tax ID) 24

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

Practitioners 14

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
Obesity Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207QB0002X Yes

Addresses

Primary practice location

1524 27TH St
101
Bakersfield, CA 93301-2055

Mailing address

PO Box 398794
San Francisco, CA 94139-8794

Other providers in Bakersfield, CA

All providers in Bakersfield, CA · Obesity Medicine (Family Medicine) Physician in California

Sources for this page

Verify at the official NPI Registry.