ADVENTIST HEALTH PHYSICIANS NETWORK
NPI 1366067241
Family Medicine in Lodi, CA

Active since June 16, 2020CLIA Certified · 3 labs
1901 W KETTLEMAN LN STE 200, LODI, CA 95242(209) 334-8540 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 21, 2022, Feb 15, 2022, Jan 14, 2022 and 1 more (4 updates tracked since 2020).

About Adventist Health Physicians Network NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVENTIST HEALTH PHYSICIANS NETWORK (NPI 1366067241) is a healthcare organization registered as a family medicine in Lodi, California and active in the NPI registry since June 2020. The organization holds 3 active CLIA laboratory certificates and lists Arby Nahapetian, President, as its authorized official.

NPPES Registry Identity

NPI1366067241
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVENTIST HEALTH PHYSICIANS NETWORK
Location Address1901 W KETTLEMAN LN STE 200Lodi, CA 95242-4337
Mailing AddressPo Box 888794Los Angeles, CA 90088-8794
Organization SubpartNo
Authorized OfficialArby NahapetianPresident · (818) 409-8000
Enumeration DateJune 16, 2020
Last NPPES UpdateSeptember 22, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1366067241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1901 W KETTLEMAN LN STE 200, Lodi, CA 95242

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adventist Health Physicians Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

673

Medicare enrollment records show 673 clinicians reassign Medicare billing to Adventist Health Physicians Network, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 45 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 52

Nurse Practitioner130
Diagnostic Radiology121
Family Practice65
Internal Medicine33
General Surgery31
Orthopedic Surgery30
Urology30
Obstetrics/Gynecology26
44 other specialties207

Nearest to this location (20)

See all 673
Nurse Practitioner
NPI 1104708148
1901 W KETTLEMAN LN STE 200
Lodi, CA 95242
(209) 334-8540
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619672144
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.6 mi
Physical Medicine and Rehabilitation
NPI 1174886881
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1760276778
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.6 mi
Family Practice
NPI 1558455618
999 S FAIRMONT AVE SUITE 135
Lodi, CA 95240
(209) 366-2060
✔ PECOS✔ Accepts Medicare0.6 mi
General Surgery
NPI 1457323446
999 S FAIRMONT AVE SUITE 100
Lodi, CA 95240
(209) 334-2010
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1215688718
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts Medicare0.6 mi
Orthopedic Surgery
NPI 1326482142
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts Medicare0.6 mi
Gastroenterology
NPI 1902172406
999 S FAIRMONT AVE STE 125
Lodi, CA 95240
(209) 334-8514
✔ PECOS✔ Accepts Medicare0.6 mi
Diagnostic Radiology
NPI 1063972198
975 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-3411
✔ PECOS✔ Accepts Medicare0.6 mi
Endocrinology
NPI 1013023274
1235 W VINE ST SUITE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare0.7 mi
Emergency Medicine
NPI 1578506952
2415 W VINE ST SUITE 105
Lodi, CA 95242
(209) 339-7435
✔ PECOS✔ Accepts Medicare0.7 mi
Orthopedic Surgery
NPI 1275598831
1235 W VINE ST SUITE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare0.7 mi
Neurology
NPI 1861460735
1235 W VINE ST SUITE 22
Lodi, CA 95240
(209) 334-8520
✔ PECOS✔ Accepts Medicare0.7 mi
Pulmonary Disease
NPI 1821000480
845 S FAIRMONT AVE STE 8
Lodi, CA 95240
(209) 339-7410
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1629173935
1121 W VINE ST SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOS✔ Accepts Medicare0.7 mi
Diagnostic Radiology
NPI 1154330389
1121 W VINE ST SUITE 15
Lodi, CA 95240
(209) 334-4416
✔ PECOS✔ Accepts Medicare0.7 mi
Physical Medicine and Rehabilitation
NPI 1770076994
515 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-8570
✔ PECOS✔ Accepts Medicare1.0 mi
Neurology
NPI 1306848460
515 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-8570
✔ PECOS✔ Accepts Medicare1.0 mi
Neurology
NPI 1922349547
515 S FAIRMONT AVE
Lodi, CA 95240
(209) 334-8570
✔ PECOS✔ Accepts Medicare1.0 mi
See all 673 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1097139

Adventist Health Physicians Network · Lodi, CA
Active · expires Jul 6, 2027
CLIA Number05D1097139
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorJacqualin Miller
Laboratory Phone(209) 339-7411
Laboratory LocationAdventist Health Physicians Network1901 W Kettleman Lane, Ste 200, Lodi, CA 95242
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2154128

Adventist Health Physicians Network - Lodi Urology · Lodi, CA
Active · expires Sep 5, 2028
CLIA Number05D2154128
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2026
Certificate Expiration DateSeptember 5, 2028
Laboratory DirectorDr. Ayad Khourdaji
Laboratory Phone(209) 339-7411
Laboratory LocationAdventist Health Physicians Network - Lodi Urology830 S Ham Lane Suite 26, Lodi, CA 95242
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2212313

Adventist Health Physicians Network - Cancer Care · Lodi, CA
Active · expires Feb 2, 2027
CLIA Number05D2212313
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorTravers Mcloughlin
Laboratory Phone(209) 333-3056
Laboratory LocationAdventist Health Physicians Network - Cancer Care2407 W Vine Street, Lodi, CA 95242
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adventist Health Physicians Network's NPI number?

The NPI number for Adventist Health Physicians Network is 1366067241. It was assigned to this organization in the NPPES registry on June 16, 2020.

Where is Adventist Health Physicians Network located?

Adventist Health Physicians Network is located at 1901 W Kettleman Ln Ste 200, Lodi, CA 95242. The listed phone number is (209) 334-8540.

What is Adventist Health Physicians Network's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adventist Health Physicians Network enrolled in Medicare?

Yes. Adventist Health Physicians Network is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adventist Health Physicians Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 673 clinicians in 52 Medicare specialties reassign their Medicare billing to Adventist Health Physicians Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (130), Diagnostic Radiology (121) and Family Practice (65). Of these, 1 practice at this address and 45 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Adventist Health Physicians Network hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Adventist Health Physicians Network was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.