✓ Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) (207PE0005X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ADVENTIST HEALTH PHYSICIANS NETWORK (NPI #1184017303)

Emergency Medicine, Undersea and Hyperbaric Medicine • UKIAH, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1184017303
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207PE0005X (CMS 93)
Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
Box 32 Service Location & ZIP+4
415 HOSPITAL DR, UKIAH, CA, 95482-4545
✓ 9-Digit EDI 837 ZIP+4 (95482-4545)
Practice Phone & Referral Fax
Fax: (707) 467-5240
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184017303 (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 Number1184017303 (NPI-2 Organization / Facility)
Provider / Legal NameADVENTIST HEALTH PHYSICIANS NETWORK
Plain-English SpecialtyBoard-Certified Emergency Medicine Physician (ER / Trauma Doctor)
NUCC Code: 207PE0005X (Emergency Medicine, Undersea and Hyperbaric Medicine)
Certifying / Licensing BodyAmerican Board of Emergency Medicine (ABEM)
Practice Location Address415 HOSPITAL DR, UKIAH, CA, 95482-4545
Practice Telephone / FaxTel: (707) 467-5230 | Fax: (707) 467-5240
Administrative Mailing AddressPO BOX 888794, LOS ANGELES, CA, 90088-8794
Enumeration & Last SyncEnumerated: 2015-03-12 | CMS Record Updated: 2022-12-20
Authorized OfficialARBY NAHAPETIAN (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

415 HOSPITAL DR, UKIAH, CA, 95482-4545

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Plain-English Taxonomy & CMS Crosswalk (207PE0005X)

What Does Taxonomy Code 207PE0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207PE0005X translates to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 93 (Physician/Emergency Medicine) • CMS Code D4 (Undersea and Hyperbaric Medicine)
Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
Clinical Scope: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVENTIST HEALTH PHYSICIANS NETWORK)

Typical CPT / Diagnostic Procedures:
  • Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
  • Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
  • Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting
Common Therapeutic Classes:
  • Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
  • Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
  • Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207PE0005X — Emergency Medicine, Undersea and Hyperbaric Medicine
Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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