Adventist Health Physicians Network

Key facts

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

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)…

Specialty (taxonomy)	Code	Primary
Case Manager/Care Coordinator Group: 193200000X MULTI-SPECIALTY GROUP	171M00000X
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	Yes
Gastroenterology Physician Group: 193200000X MULTI-SPECIALTY GROUP	207RG0100X
Orthopaedic Surgery Physician Group: 193200000X MULTI-SPECIALTY GROUP	207X00000X

20211 W Valley Blvd
Tehachapi, CA 93561-6748

PO Box 888794
Los Angeles, CA 90088-8794

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

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.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.