Active NPI
Adventist Health Physicians Network
- Family Medicine Physician
- Willits, CA
National Provider Identifier
1477919033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 3 Marcela Dr
Willits, CA 95490-5769 - Phone
- (707) 459-6115
- Fax
- (707) 459-1345
- NPI assigned
- Jan 12, 2016
- Last updated
- Dec 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (702) 271-4998
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | CA | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | CA | ||
| Surgery Physician | 208600000X | CA |
Addresses
Primary practice location
3 Marcela Dr
Willits, CA 95490-5769
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| 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
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Santa Rosa, CA
- NPI 1124085410
-
- Family Medicine Physician
- Ukiah, CA
- NPI 1255810636
-
- Family Medicine Physician
- San Diego, CA
- NPI 1114149853
-
- Family Medicine Physician
- Ukiah, CA
- NPI 1750031670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1477919033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 888794",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900888794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 MARCELA DR",
"city": "WILLITS",
"state": "CA",
"postal_code": "954905769",
"telephone_number": "707-459-6115",
"fax_number": "707-459-1345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-12",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "NAHAPETIAN",
"authorized_official_first_name": "ARBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-271-4998"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.