Adventist Health Physicians Network
Organization Active NPI Urology Physician · Saint Helena, CA
NPI 1437555422 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1437555422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 6 Woodland Rd
Suite 104
Saint Helena, CA 94574-9501 - Phone
- (707) 963-1031
- Fax
- (707) 963-3487
- NPI assigned
- Nov 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (702) 271-4998
Corporate family (same tax ID) 24
Practitioners 2
-
Leonardo C. Clavijo, M.D.
-
Victoria Henriquez, PA-C
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 |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
6 Woodland Rd
Suite 104
Saint Helena, CA 94574-9501
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Other providers in Saint Helena, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Saint Helena, CA · Urology 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 21, 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.