Adventist Health Physicians Network
Organization Active NPI Body Imaging Physician · Corning, CA
NPI 1417416124 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1417416124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Body Imaging Physician 2085B0100X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 155 Solano St Ste 101
Corning, CA 96021-3511 - Phone
- (530) 824-5847
- NPI assigned
- Mar 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (702) 271-4998
Corporate family (same tax ID) 24
Practitioners 2
-
Nathaniel Greeley, PA-C
-
Baron Dwayne Harper, 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
- Tax ID family
- Clafiornia Med FD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | Yes |
Addresses
Primary practice location
155 Solano St Ste 101
Corning, CA 96021-3511
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Other providers in Corning, CA
- Diana Acevedo
- Adventist Health Clearlake Hospital Inc.
- Adventist Health Physicians Network
- Katherine Algeri
- Meredith Anne Allen
- Darlene M Androus Junk
- Barbara Kinkle PA Inc., a Physician Assistant Corporation
All providers in Corning, CA · Body Imaging 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.