ANTELOPE VALLEY FAMILY HEALTH MEDICAL GROUP, INC (NPI# 1346219268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346219268 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY FAMILY HEALTH MEDICAL GROUP, INC |
| Other Organization Name | GARY WM. GRUBB |
| Practice Address |
1672 W Avenue J Suite 105 Lancaster CA 93534-2827 |
| Practice Telephone | 6619450821 |
| Practice Fax Number | 6619486255 |
| Mailing Telephone | 6619450821 |
| Mailing Fax Number | 6619486255 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | DR. GARY WILLIAM GRUBB (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 6619450821 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G43124 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gary Wm. Grubb | Former Legal Business Name - Organization |
| Street Address |
1672 W AVENUE J SUITE 105 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730166067 | Tamding Tempo | Anesthesiology | 1672 W Avenue J, Suite 209, Lancaster, CA 93534-2700 | 2005-12-28 |
| 1790112753 | Avetis Topchyan | Psychologist | 1672 W Avenue J, Suite 207, Lancaster, CA 93534-2827 | 2013-10-03 |
| 1902158017 | Connect Hearing, Inc. | Audiologist | 1672 W Avenue J, Suite 107, Lancaster, CA 93534-2827 | 2012-10-12 |
| 1912279936 | Thomas Neuman Dpm Professional Corporation | Podiatrist | 1672 W Avenue J, Suite 201, Lancaster, CA 93534-2827 | 2012-02-07 |
| 1679857569 | Lashanda Jones-corneille | Psychologist | 1672 W Avenue J, Suite 207, Lancaster, CA 93534-2827 | 2011-10-10 |
| 1235381799 | Gay and Lesbian Adolescent Social Services, Inc | Community/Behavioral Health | 1672 W Avenue J, Suite 203, Lancaster, CA 93534-2827 | 2008-10-15 |
| 1881891067 | Gary W Grubb | Family Medicine | 1672 W Avenue J, Suite 105, Lancaster, CA 93534-2827 | 2007-06-29 |
| 1417162900 | Jeffrey H Stein, Dds, Inc | Clinic/Center | 1672 W Avenue J, Ste 109, Lancaster, CA 93534-2827 | 2007-05-10 |
| 1427100866 | Carmel I. Ernest, M.d., Inc. | Family Medicine | 1672 W Avenue J, Suite 103, Lancaster, CA 93534-2827 | 2007-01-17 |
| 1821157652 | Nikki G. Tighe | Marriage & Family Therapist | 1672 W Avenue J, Suite 207, Lancaster, CA 93534-2827 | 2006-12-07 |
| 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 | 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 |
|---|---|---|---|---|
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1134732753 | Ovp Health Care, Inc. | Family Medicine | 101 S Catawba St, Lancaster, SC 29720-2411 | 2020-08-24 |
| 1477174027 | Omnis Medical Group | Family Medicine | 401 North Ewing Street, Lancaster, OH 43130 | 2020-05-05 |
| 1134765456 | Lancaster General Medical Group | Family Medicine | 100 N Queen St Ste 200, Lancaster, PA 17603-3550 | 2019-11-21 |
| 1578116927 | Pamela Joann Jacobs | Family Medicine | 77 Westwood Rd, Lancaster, NY 14086-9522 | 2019-07-23 |
| 1730642786 | Covenantmd, LLC | Family Medicine | 930 Red Rose Ct Ste 104, Lancaster, PA 17601-1981 | 2019-04-08 |
| 1720542244 | Bryan C Benefiel, M.d. Inc. | Family Medicine | 44725 10th St W Ste 290, Lancaster, CA 93534-3049 | 2019-01-29 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1689167751 | Jacqueline Palmer | Family Medicine | 45465 25th St E Spc 168, Lancaster, CA 93535-2392 | 2018-06-12 |
| 1154851384 | Pinnacle Health Regional Physicians | Family Medicine | 250 College Ave Ste 300, Lancaster, PA 17603-3363 | 2017-06-20 |
| 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.