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Organization Active NPI

Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
National Provider Identifier
1689665267
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
120000188 Issued in CA
Legal business name
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
Practice address
1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone
(661) 771-8600
Fax
(661) 771-8399
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Wells
Title
President
Phone
(661) 863-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 120000188 CA Primary

Addresses

Primary practice location

1100 Magellan Dr
Tehachapi, CA 93561-1380

Mailing address

PO Box 845755
Los Angeles, CA 90084-5755
Phone (661) 771-8600

Other identifiers 5

IdentifierTypeStateIssuer
RHM13977FMedicaidCA
ZZT30446FMedicaidCA
RHM13979FMedicaidCA
LTC30446FMedicaidCA
ZZT40446FMedicaidCA

Other names 1

  • Adventist Health Medical Center Tehachapi Swing Bed Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
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 CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160901000916 CA Part A Provider - Critical Access Hospital 1456646629 Practice locations: Tehachapi, CA
O20170124000729 CA Part B Supplier - Clinic/Group Practice 1456646629 Receives reassigned benefits from 190 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: California City, CA; Mojave, CA; Tehachapi, CA

Hospital certification: CCN 05Z301

Legal name
ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
Doing business as
ADVENTIST HEALTH TEHACHAPI VALLEY
Organization structure
CorporationNon-profit
Incorporated
Nov 1, 2016 in CA
Enrollment address
1100 Magellan Dr
Tehachapi, CA 93561-1380
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jason Wells Individual Corporate OfficerPresident Jan 23, 2023
W-2 Managing Employee Jan 23, 2024
Kerry L Heinrich Individual Corporate OfficerChair Jan 1, 2022
John H Cress Individual Corporate DirectorBoard of Director Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Feb 10, 2016
Eric a Stevens Individual Corporate OfficerVice Chair Mar 2, 2025
Heidar Thordarson Individual Corporate OfficerTreasurer Jan 6, 2025
Richard K Reiner Individual Corporate DirectorBoard of Director Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorBoard of Director Oct 1, 2020
Jonathan J Daggett Individual Corporate DirectorBoard of Director Jan 1, 2024
Andrew R Davis Individual Corporate DirectorBoard of Director May 5, 2017
Ann K Beckett Individual Corporate DirectorBoard of Director Jan 1, 2024
Marc K Woodson Individual Corporate DirectorBoard of Director Jan 1, 2019
John C Freedman Individual Corporate DirectorBoard of Director Sep 26, 2016
Jack W Wagner Individual Corporate DirectorBoard of Director Dec 1, 2022
Kenneth Jutzy Individual Corporate DirectorBoard of Director Jan 1, 2024
Bradford C Newton Individual Corporate DirectorBoard of Director Aug 16, 2021
Robert a Cherry Individual Corporate DirectorBoard of Director May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Feb 10, 2016
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit Operational/Managerial Control Feb 10, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 105

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 105

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 57

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1689665267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845755",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845755",
            "telephone_number": "661-771-8600",
            "fax_number": "661-771-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAGELLAN DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611380",
            "telephone_number": "661-771-8600",
            "fax_number": "661-771-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-863-3180"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "120000188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM13977F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT30446F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM13979F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC30446F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT40446F",
            "state": "CA"
        }
    ],
    "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": "1100 Magellan Dr",
            "city": "Tehachapi",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935611380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adventist Health Medical Center Tehachapi Swing Bed",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adventist Health Medical Center Tehachapi Swing Bed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tehachapi, CA

Sources for this page

Verify at the official NPI Registry.