ANTELOPE VALLEY COMMUNITY CLINIC (NPI# 1245690387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245690387 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY COMMUNITY CLINIC |
| Other Organization Name | LANCASTER ADULT DAY HEALTH CARE |
| Practice Address |
45104 10th St W Lancaster CA 93534-2310 |
| Practice Telephone | 6619422391 |
| Practice Fax Number | 6619026839 |
| Mailing Telephone | 6619422391 |
| Mailing Fax Number | 6619026839 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | MS. TERESA ROA (FINANCE SPECIALIST) |
| Authorized Official Telephone | 6619422391 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550001452 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1730499872 | 05 |
| Other Name | Type Code |
|---|---|
| Lancaster Adult Day Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840320 | Antelope Valley Community Clinic | Substance Abuse Rehabilitation Facility | 502 Sugar Loaf Dr, Palmdale, CA 93551-7953 | 2017-09-19 |
| 1730630427 | Antelope Valley Community Clinic | Clinic/Center | 45124 10th St W, Lancaster, CA 93534-2310 | 2016-10-18 |
| 1811448293 | Antelope Valley Community Clinic | Clinic/Center | 45124 10th St W, Lancaster, CA 93534-2310 | 2016-10-20 |
| 1720537863 | Antelope Valley Community Clinic | Clinic/Center | 37926 47th St E, Palmdale, CA 93552-3272 | 2016-09-30 |
| 1730499872 | Antelope Valley Community Clinic | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2010-10-07 |
| 1619290624 | Antelope Valley Community Clinic | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2010-03-04 |
| 1346563673 | Antelope Valley Community Clinic | Clinic/Center | 2151 E Palmdale Blvd, Palmdale, CA 93550-4037 | 2010-03-01 |
| 1609199934 | Antelope Valley Community Clinic | Clinic/Center | 44216 10th St W, Lancaster, CA 93534-4134 | 2010-03-01 |
| 1710199674 | Antelope Valley Community Clinic | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2007-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANTELOPE VALLEY COMMUNITY CLINIC | 45104 10th St W, Lancaster, CA 93534-2310 |
| Street Address |
45104 10TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896921 | Mary Haynes | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2005-10-21 |
| 1689135816 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-29 |
| 1174084313 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-29 |
| 1427518786 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-22 |
| 1710480058 | Kashyap Sharma | Dentist | 45104 10th St W, Lancaster, CA 93534 | 2018-03-13 |
| 1336674571 | Wendy Fuentes | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2017-04-25 |
| 1568811347 | Htar Su Hlaing | Pediatrics | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-06-13 |
| 1295199263 | Jacob Carpenter | Nurse Practitioner | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-04-06 |
| 1053773754 | Tessiny N Iriarte | Dermatology | 45104 10th St W, Lancaster, CA 93534-2310 | 2016-03-22 |
| 1811375702 | Vanessa Olton | Family Medicine | 45104 10th St W, Lancaster, CA 93534 | 2015-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656174 | Lancaster Health Center | Clinic/Center | 30 N Ann St, Lancaster, PA 17602-3063 | 2020-07-17 |
| 1710463187 | Cumberland Family Medical Center, Inc | Clinic/Center | 205 Lexington St, Lancaster, KY 40444-1146 | 2018-07-18 |
| 1396221834 | Cumberland Family Medical Center, Inc | Clinic/Center | 279 N Camp Dick Rd, Lancaster, KY 40444-6713 | 2018-07-18 |
| 1750867610 | Cumberland Family Medical Center, Inc. | Clinic/Center | 599 Industry Rd, Lancaster, KY 40444-7893 | 2018-07-13 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1457758617 | Lancaster Health Center | Clinic/Center | 605 W Walnut St, Lancaster, PA 17603-3383 | 2014-12-03 |
| 1790041663 | Catholic Charities of The Diocese of Harrisburg, Pa | Clinic/Center | 333 North Arch Street, Selh Arch Street Center, Lancaster, PA 17603-2928 | 2012-04-05 |
| 1366496416 | Lancaster Health Center | Clinic/Center | 515b Hershey Avenue, Lancaster, PA 17603-5752 | 2006-05-22 |
| 1831675313 | Cumberland Family Medical Center, Inc. | Clinic/Center | 304 W Maple Ave, Lancaster, KY 40444-1164 | 2018-07-17 |
| 1588187504 | Health Help Incorporated | Clinic/Center | 89 Farra Dr, Lancaster, KY 40444-9598 | 2017-07-21 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.