ADVENTIST HEALTH PHYSICIANS NETWORK — NPI 1053790915 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine in UKIAH, CA)

CMS-1500 Box 24J / 33a • NPI

1053790915

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2081P2900X (CMS 25)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine

Box 32 Service Location & ZIP+4

260 HOSPITAL DR, SUITE 102, UKIAH, CA, 95482-4568

✓ 9-Digit EDI 837 ZIP+4 (95482-4568)

Practice Phone & Referral Fax

(707) 463-8003

Fax: (707) 463-8018

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053790915 (ADVENTIST HEALTH PHYSICIANS NETWORK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053790915` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVENTIST HEALTH PHYSICIANS NETWORK
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine NUCC Code: `2081P2900X` (Physical Medicine & Rehabilitation, Pain Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	260 HOSPITAL DR, SUITE 102, UKIAH, CA, 95482-4568
Practice Telephone / Fax	Tel: (707) 463-8003 \| Fax: (707) 463-8018
Administrative Mailing Address	PO BOX 888794, LOS ANGELES, CA, 90088-8794
Enumeration & Last Sync	Enumerated: 2015-05-26 \| CMS Record Updated: 2025-09-15
Authorized Official	ARBY NAHAPETIAN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

260 HOSPITAL DR, SUITE 102, UKIAH, CA, 95482-4568

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Plain-English Taxonomy & CMS Crosswalk (2081P2900X)

What Does Taxonomy Code 2081P2900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2081P2900X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 25 (Physician/Physical Medicine and Rehabilitation)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Medicine & Rehabilitation, Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVENTIST HEALTH PHYSICIANS NETWORK)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2081P2900X` — Physical Medicine & Rehabilitation, Pain Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVENTIST HEALTH PHYSICIANS NETWORK (NPI #1053790915)