Adventist Health Physicians Network

Organization Active NPI Interventional Cardiology Physician · Marysville, CA

NPI 1477051464 · NPPES record last updated Sep 8, 2025

Key facts

NPI
1477051464
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Cardiology Physician 207RI0011X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
414 G St Ste 106
Marysville, CA 95901-5669
Phone
(530) 749-6650
NPI assigned
Jan 25, 2018
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 10

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)

Locations

414 G St
Ste 106
Marysville, CA 95901
Phone (530) 741-3688

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
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RI0011X Yes
Vascular Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2086S0129X

Addresses

Primary practice location

414 G St Ste 106
Marysville, CA 95901-5669

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 Marysville, CA

All providers in Marysville, CA · Interventional Cardiology Physician in California

Sources for this page

Verify at the official NPI Registry.