CMS-1500 Box 24J / 33a • NPI
1699127316
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207RE0101X (CMS 11)
Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)
Box 32 Service Location & ZIP+4
515 S FAIRMONT AVE, LODI, CA, 95240-3834
✓ 9-Digit EDI 837 ZIP+4 (95240-3834)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1699127316 (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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1699127316 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVENTIST HEALTH PHYSICIANS NETWORK |
| Plain-English Specialty | Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist) NUCC Code: 207RE0101X (Internal Medicine, Endocrinology, Diabetes & Metabolism) |
| Certifying / Licensing Body | American Board of Internal Medicine — Endocrinology, Diabetes & Metabolism |
| Practice Location Address | 515 S FAIRMONT AVE, LODI, CA, 95240-3834 |
| Practice Telephone / Fax | Tel: (209) 334-8570 |
| Administrative Mailing Address | PO BOX 888794, LOS ANGELES, CA, 90088-8794 |
| Enumeration & Last Sync | Enumerated: 2016-07-06 | CMS Record Updated: 2025-09-22 |
| Authorized Official | ARBY NAHAPETIAN (President) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207RE0101X)
What Does Taxonomy Code 207RE0101X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RE0101X translates to:
"Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVENTIST HEALTH PHYSICIANS NETWORK)
Typical CPT / Diagnostic Procedures:- Continuous Glucose Monitoring (CGM) & Insulin Pump Titration (CPT 95251)
- Thyroid Ultrasound & Fine-Needle Aspiration (FNA) Biopsy of Thyroid Nodules
- DEXA Bone Mineral Density Interpretation for Osteoporosis
- Comprehensive Pituitary, Adrenal & Reproductive Hormone Panels
- GLP-1 / GIP Receptor Agonists (Semaglutide, Tirzepatide) & Insulins
- Levothyroxine (Hypothyroidism) & Methimazole / Carbimazole (Hyperthyroidism)
- Metformin, Empagliflozin & Dapagliflozin
- Bisphosphonates (Alendronate, Zoledronic Acid) & Denosumab
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
207RE0101X — Internal Medicine, Endocrinology, Diabetes & MetabolismPlain English: Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist) | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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