GARRISON FAMILY MEDICAL GROUP (NPI# 1316121247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121247 |
| Entity Type | Organization |
| Organization Name | GARRISON FAMILY MEDICAL GROUP |
| Practice Address |
41210 11th St W Suite C Palmdale CA 93551-1447 |
| Practice Telephone | 6619477100 |
| Practice Fax Number | 6619477670 |
| Mailing Telephone | 6619477100 |
| Mailing Fax Number | 6619477670 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |
| Authorized Official Name | MRS. ANTONETTE ABATTI (ADMINISTRATOR) |
| Authorized Official Telephone | 6619477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 132700000X | Dietary Manager | G50780 | CA | Dietary & Nutritional Service Providers |
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207K00000X | Allergy & Immunology | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | G50780 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | G50780 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G50780 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G507800 | 05 |
| Street Address |
41210 11TH ST W SUITE C |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746014 | Ranjiv S Choudhary | Specialist | 41210 11th St W, Ste G, Palmdale, CA 93551-1447 | 2006-03-28 |
| 1770952731 | So-young Kim | Nurse Practitioner | 41210 11th St W, Palmdale, CA 93551-1447 | 2015-09-21 |
| 1467880658 | Francisco Rios Camarillo | General Acute Care Hospital | 41210 11th St W, Suite C, Palmdale, CA 93551-1447 | 2013-10-24 |
| 1326399742 | Los Angeles Cardiology Associates | Internal Medicine | 41210 11th St W, Suite G, Palmdale, CA 93551-1447 | 2012-09-25 |
| 1356690234 | Sarah Robertson | Nurse Practitioner | 41210 11th St W, Palmdale, CA 93551-1447 | 2012-09-06 |
| 1407114762 | Ranjiv Choudhary, M.d. Inc. | Specialist | 41210 11th St W, Suite G, Palmdale, CA 93551-1447 | 2012-04-24 |
| 1043449192 | Garrison Family Medical Group Canyon Country | Specialist | 41210 11th St W, Suite C, Palmdale, CA 93551-1447 | 2009-07-10 |
| 1851583553 | Kathy Bianco | Physician Assistant | 41210 11th St W, Ste.c, Palmdale, CA 93551-1447 | 2007-08-16 |
| 1396942736 | Stephanie Lynn Wade | Nurse Practitioner | 41210 11th St W, Suite K, Palmdale, CA 93551-1447 | 2007-06-29 |
| 1457553620 | Katayoun Y Motlagh | General Practice | 41210 11th St W, Suite C, Palmdale, CA 93551-1447 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
| 1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
| 1457709321 | Anas Entabi M.d., Inc | Family Medicine | 38925 Trade Center Drive, Suite H, Palmdale, CA 93551-3655 | 2016-06-01 |
| 1134360803 | William A Landes | Family Medicine | 36406 Ironhorse Dr, Palmdale, CA 93550-7973 | 2009-03-10 |
| 1699953604 | Svetlana Gorelikova | Family Medicine | 38780 Trade Center Dr # 1c, Palmdale, CA 93551 | 2008-02-01 |
| 1205023249 | Gonzalo Gonzalez Martinez Md Inc | Family Medicine | 38460 5th St. West, Ste A-e, Palmdale, CA 93551-1411 | 2007-10-03 |
| 1801919220 | Rosa Maria Gomez | Family Medicine | 2260 E Palmdale Blvd Ste H, Palmdale, CA 93550-1327 | 2007-04-09 |
| 1922172089 | Gary Austin Grimes | Family Medicine | 39749 Makin Ave, Palmdale, CA 93551-2940 | 2006-11-20 |
| 1518060417 | Tommy Kai-nang Leong | Family Medicine | Heritage Healthcare / 2260 East Palmdale Blvd., Palmdale, CA 93550 | 2006-09-06 |
| 1649280652 | Karen Marie Glover | Family Medicine | 833 Auto Center Dr, Ste A, Palmdale, CA 93551-4488 | 2006-08-09 |
| Find all providers in PALMDALE | ||||
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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.