Active NPI
Adventist Health Physicians Network
- Family Medicine Physician
- Shafter, CA
National Provider Identifier
1649958562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 1150 E Lerdo Hwy Ste C
Shafter, CA 93263-9420 - Phone
- (661) 630-5890
- NPI assigned
- Jul 10, 2023
- Last updated
- Sep 22, 2025
- 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
- (818) 409-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1150 E Lerdo Hwy Ste C
Shafter, CA 93263-9420
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
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 DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1649958562",
"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": "1150 E LERDO HWY STE C",
"city": "SHAFTER",
"state": "CA",
"postal_code": "932639420",
"telephone_number": "661-630-5890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-10",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "NAHAPETIAN",
"authorized_official_first_name": "ARBY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-409-8000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1150 E Lerdo Hwy Ste C",
"city": "Shafter",
"state": "CA",
"country_code": "US",
"postal_code": "932639420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shafter, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.