ANTELOPE VALLEY HOSPITAL OB CLINIC LANCASTER (NPI# 1528420502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528420502 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY HOSPITAL OB CLINIC LANCASTER |
| Practice Address |
44105 15th St W Suite 301 Lancaster CA 93534-4088 |
| Mailing Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Practice Telephone | 6617266180 |
| Practice Fax Number | 6617266154 |
| Mailing Telephone | 6617266180 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MR. MICHAEL WALL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6619495512 |
| Is Organization Subpart | Y |
| Parent Organization Name | ANTELOPE VALLEY HEALTHCARE DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1366419517 | 05 |
| Street Address |
44105 15TH ST W SUITE 301 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023058195 | Yuchi Peter Peng | Radiology | 44105 15th St W, Suite # 110, Lancaster, CA 93534-4088 | 2006-06-07 |
| 1598154734 | Karen St Hilaire | Clinical Nurse Specialist | 44105 15th St W, Suite 301, Lancaster, CA 93534-4088 | 2015-01-12 |
| 1356765655 | Antelope Valley Lung Institute Medical Group | Internal Medicine | 44105 15th St W, 303, Lancaster, CA 93534-4089 | 2014-02-07 |
| 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 | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
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| 1801399860 | Northeast Valley Health Corporation | Clinic/Center | 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 | 2018-03-15 |
| 1578082400 | County of Santa Clara | Clinic/Center | 2101 Alexian Dr., Vhc At Alexian, San Jose, CA 95116-1901 | 2017-09-12 |
| 1922528694 | Asian and Pacific Islander Wellness Center, Inc. | Clinic/Center | 1800 Market St Ste 401, San Francisco, CA 94102-6227 | 2017-06-23 |
| 1972908044 | Community Support Clinic, Inc. | Clinic/Center | 506 S San Pedro St, Suite A, Los Angeles, CA 90013-2102 | 2014-10-30 |
| 1063836526 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 301, Lynwood, CA 90262-2646 | 2014-02-04 |
| 1538592472 | Birth Your Way Birth Center - An International Midwifery Practice | Clinic/Center | 12152 Bryant St, Yucaipa, CA 92399-4478 | 2013-08-14 |
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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.