Adventist Health Physicians Network

Organization Active NPI Surgery Physician · Ukiah, CA

NPI 1861885147 · NPPES record last updated Sep 15, 2025

Key facts

NPI
1861885147
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Practice address
246 Hospital Dr
Ukiah, CA 95482-4533
Phone
(707) 463-8011
Fax
(707) 463-8044
NPI assigned
Mar 11, 2015
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 2

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)

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
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X Yes

Addresses

Primary practice location

246 Hospital Dr
Ukiah, CA 95482-4533

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 Ukiah, CA

All providers in Ukiah, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.