MEDICARE: ADVENTIST HEALTH PHYSICIANS NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1225593312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	PO BOX 888794
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90088-8794
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	232 HOSPITAL DR STE A
Second Line	:
City	:	UKIAH
State	:	CA
Zip	:	95482-4562
Country	:	US
Telephone Number	:	707-467-3189
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARBY NAHAPETIAN
Credential	:
Telephone Number	:	818-409-8000

Provider Enumeration Date	:	02/04/2019
Last Update Date	:	09/12/2025

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Directions to “ADVENTIST HEALTH PHYSICIANS NETWORK ” Practice Location

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