Healthcare Provider Details
I. General information
NPI: 1023316668
Provider Name (Legal Business Name): ADVENTIST HEALTH PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2011
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1530 RAILROAD AVE
ST. HELENA CA
94574-1107
US
IV. Provider business mailing address
PO BOX 888794
LOS ANGELES CA
90088-8794
US
V. Phone/Fax
- Phone: 707-967-9011
- Fax: 707-967-5653
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARBY
NAHAPETIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-409-8000