ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP (NPI# 1356765655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356765655 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP |
| Practice Address |
44105 15th St W 303 Lancaster CA 93534-4089 |
| Mailing Address |
44105 15th St W Suite 303 Lancaster CA 93534-4088 |
| Practice Telephone | 6619458717 |
| Practice Fax Number | 6619451118 |
| Mailing Telephone | 6619458717 |
| Mailing Fax Number | 6619451118 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |
| Authorized Official Name | DR. SYED SAJEEL AHMED (OWNER/PARTNER) |
| Authorized Official Telephone | 6619458717 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A87434 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184085 | Antelope Valley Lung Institute Medical Group | Internal Medicine | 20211 Valley Blvd, Tehachapi, CA 93561-8751 | 2014-08-11 |
| 1831489152 | Antelope Valley Lung Institute Medical Group | Internal Medicine | 900 Heritage Way, Bldg A, Ridgecrest, CA 93555 | 2011-04-08 |
| 1467864371 | Antelope Valley Lung Institute Medical Group | Internal Medicine | 1535 N China Lake Blvd Ste B, Ridgecrest, CA 93555-2667 | 2014-05-27 |
| 1528327608 | Antelope Valley Lung Institute Medical Group | Specialist | 1615 N Downs St, Suite A, Ridgecrest, CA 93555-2465 | 2012-05-10 |
| 1760682140 | Antelope Valley Lung Institute Medical Group | Specialist | 1331 W Avenue J, Suite 101, Lancaster, CA 93534-2942 | 2007-07-23 |
| Street Address |
44105 15TH ST W 303 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023058195 | Yuchi Peter Peng | Radiology | 44105 15th St W, Suite # 110, Lancaster, CA 93534-4088 | 2006-06-07 |
| 1528420502 | Antelope Valley Hospital Ob Clinic Lancaster | Clinic/Center | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2016-03-28 |
| 1598154734 | Karen St Hilaire | Clinical Nurse Specialist | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2015-01-12 |
| 1952660177 | Steve S Koh, Md, Inc | Urology | 44105 15th St W, Ste 302, Lancaster, CA 93534-4088 | 2012-05-08 |
| 1033304035 | Antelope Valley Orthopaedic& Rehabiliation Specialists | Pain Medicine | 44105 15th St W, Suite 201, Lancaster, CA 93534-4088 | 2007-09-12 |
| 1164636262 | Yih-dar Nien | Surgery | 44105 15th St W, Suite 409, Lancaster, CA 93534-4088 | 2007-05-09 |
| 1942423553 | Linda Elizabeth Robinson | Nurse Practitioner | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2007-04-11 |
| 1396888152 | Antelope Valley Urology Medical Group Inc | Specialist | 44105 15th St W, Suite 302, Lancaster, CA 93534-4088 | 2007-02-14 |
| 1922102052 | Steve S Koh | Urology | 44105 15th St W, #302, Antelope Valley Urology, Lancaster, CA 93534-4088 | 2006-09-11 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1881888964 | Harshadkumar B. Patel | Internal Medicine | 1319 Beaconfield Ln, Lancaster, PA 17601-5344 | 2007-08-31 |
| 1326139932 | Ravi S Shankar Md Professional Corp | Internal Medicine | 44215 15th St W Ste 115, Lancaster, CA 93534-5503 | 2006-09-27 |
| 1790736585 | Northern Lancaster County Medical Group | Internal Medicine | 227 Granite Run Dr, Suite 110, Lancaster, PA 17601-6813 | 2006-05-15 |
| 1740288026 | David Gregory Brown | Internal Medicine | 121 W 6th Ave, Lancaster, OH 43130-2587 | 2005-07-12 |
| 1831658525 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2019-03-13 |
| 1972023133 | Pinnacle Health Regional Physicians | Internal Medicine | 233 College Ave Ste 300, Lancaster, PA 17603-3384 | 2017-06-20 |
| 1801145172 | Robert Gillio | Internal Medicine | 313 W Liberty St, Suite 201, Lancaster, PA 17603-2798 | 2012-09-02 |
| 1588959035 | Av Hospitalist Physicians, A California Professional Medical Corp | Internal Medicine | 44215 15th St W, Suite 211, Lancaster, CA 93534-4014 | 2011-06-13 |
| 1881835973 | Bhavin B Mehta | Internal Medicine | 540 N Duke St, Suite 244, Lancaster, PA 17602-2374 | 2009-03-19 |
| 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.