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: August 09, 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

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 DirectorEdmund Freund
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 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.

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

Adventist Health Physicians Network - Lodi Urology · Lodi, CA
Active · expires Sep 5, 2026
CLIA Number05D2154128
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1901 W KETTLEMAN LN STE 200
LODI, CA 95242
Nurse Practitioner
1901 W KETTLEMAN LN STE 200
LODI, CA 95242
Physician Assistant
1901 W KETTLEMAN LN STE 200
LODI, CA 95242
Pediatrics
1901 W KETTLEMAN LN STE 200
LODI, CA 95242
Physician Assistant
1901 W KETTLEMAN LN STE 200
LODI, CA 95242

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.

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 10 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.