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Adventist Health Physicians Network

Organization Active NPI Orthopaedic Surgery Physician · Lodi, CA

NPI 1356851695 · NPPES record last updated Sep 22, 2025

Key facts

NPI
1356851695
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
815 S Fairmont Ave
Lodi, CA 95240-5116
Phone
(209) 333-1884
Fax
(209) 333-1885
NPI assigned
Sep 30, 2017
Organization subpart
No

Authorized official

Name
Arby Nahapetian
Title
President
Phone
(818) 409-8000

Corporate family (same tax ID) 24

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

Practitioners 17

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
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

815 S Fairmont Ave
Lodi, CA 95240-5116

Mailing address

PO Box 888794
Los Angeles, CA 90088-8794

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Other providers in Lodi, CA

All providers in Lodi, CA · Orthopaedic Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.