Adventist Health Physicians Network
Organization Active NPI Radiology Clinic/Center · Lodi, CA
NPI 1821898586 · NPPES record last updated Sep 22, 2025
Key facts
- NPI
- 1821898586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 1031 S Fairmont Ave
Lodi, CA 95240-5112 - Phone
- (209) 334-8580
- NPI assigned
- Mar 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Arby Nahapetian
- Title
- President
- Phone
- (818) 409-8000
Corporate family (same tax ID) 24
Practitioners 14
-
Mario C Giudici, MD
-
Michael Vincent Klein, M.D.
-
Marcin Kopec, MD
-
Andrew Lee, M.D.
-
Archana C Lucchesi, M.D.
-
Michael John Connolly, M.D.
-
Pupinder S. Jaswal, M.D.
-
Trey L Kamplain, M.D.
-
Andrew J Martin, M.D.
-
Rebecca Jones Rohrer, M.D.
-
Ajay Kumar Singh, MD
-
Hsiu P Su, MD
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 |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes |
Addresses
Primary practice location
1031 S Fairmont Ave
Lodi, CA 95240-5112
Mailing address
PO Box 888794
Los Angeles, CA 90088-8794
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Lodi, 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
- Aegis Treatment Centers, LLC
- Christopher Aguilar
- Danielle Nicole Aguirre
- Roozbeh A. Ahmadi
All providers in Lodi, CA · Radiology Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2025. 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.