Active NPI
Adventist Health Physicians Network
- Radiation Oncology Physician
- Lodi, CA
National Provider Identifier
1861955460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 2407 W Vine St
Lodi, CA 95242-3730 - Phone
- (209) 334-8585
- NPI assigned
- Apr 10, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Radiation Oncology Physician | 2085R0001X | NU | Primary | |
| Diagnostic Radiology Physician | 2085R0202X | NU |
Addresses
Primary practice location
2407 W Vine St
Lodi, CA 95242-3730
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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2212313 | Adventist Health Physicians Network - Cancer Care | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
2407 W Vine St
Lodi, CA 95242
Phone (209) 333-3056
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Internal Medicine Physician
- Lodi, CA
- NPI 1639175581
-
- Physician Assistant
- Stockton, CA
- NPI 1659101574
-
- Orthopaedic Surgery of the Spine Physician
- Pleasanton, CA
- NPI 1831196435
-
- Diagnostic Radiology Physician
- Manteca, CA
- NPI 1518408723
-
- Surgery Physician
- Auburn, CA
- NPI 1427391648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1861955460",
"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": "2407 W VINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952423730",
"telephone_number": "209-334-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-10",
"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": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"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": "2407 W Vine St",
"city": "Lodi",
"state": "CA",
"country_code": "US",
"postal_code": "952423730",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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
- Aegis Treatment Centers, LLC (dba: Healthy Connections)
- Christopher Aguilar, MD
- Danielle Nicole Aguirre
- Roozbeh A. Ahmadi, M.D.
- Laura Akahori, NP
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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.