MEDICARE: ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

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	282NC0060X	Critical Access Hospital	120000188	CA
2	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699084525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI

Provider Business Mailing Address
First Line	:	PO BOX 845755
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90084-5755
Country	:	US
Telephone Number	:	661-771-8600
Fax Number	:	661-771-8399

Provider Business Practice Location Address
First Line	:	9350 N LOOP BLVD
Second Line	:
City	:	CALIFORNIA CITY
State	:	CA
Zip	:	93505-2269
Country	:	US
Telephone Number	:	661-823-1622
Fax Number	:	661-823-1594

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JASON WELLS
Credential	:
Telephone Number	:	661-863-3180

Provider Enumeration Date	:	09/27/2010
Last Update Date	:	07/24/2025

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Directions to “ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI ” Practice Location

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