ANTELOPE VALLEY HOSPITAL INC (NPI# 1649753575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649753575 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY HOSPITAL INC |
| Practice Address |
1600 W Avenue J Lancaster CA 93534-2814 |
| Practice Telephone | 6619495000 |
| Mailing Telephone | 6619495000 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | MR. MICHAEL L WALL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6619495533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1366419517 | 05 |
| Street Address |
1600 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245236025 | James Helfrich Mcmillan | Obstetrics & Gynecology | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2005-06-25 |
| 1376144840 | Christina Trieu | Occupational Therapist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-11-02 |
| 1770180382 | Antelope Valley Inpatient Pediatric Associates, Inc | Pediatrics | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-10-06 |
| 1679180574 | Beena Batna | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-09-25 |
| 1538772090 | Stephanie N Smith | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-08-25 |
| 1134746639 | Jeremy Ryan Kennedy | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2020-06-30 |
| 1295366656 | Sam Joed Abid IIi | Pharmacist | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2020-02-03 |
| 1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
| 1568013142 | David Thai | Nurse Practitioner | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-09-24 |
| 1356997050 | Glenn Gabrang | Registered Nurse | 1600 W Avenue J, Lancaster, CA 93534-2894 | 2019-08-18 |
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| 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 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500994 | Mediscan | General Acute Care Hospital | 4738 W Avenue L8, Lancaster, CA 93536-3560 | 2011-04-12 |
| 1497073498 | Lancaster General Health | General Acute Care Hospital | 555 N Duke St Dept Fam, Lancaster, PA 17602-2250 | 2010-05-14 |
| 1982812103 | Lancaster Regional Medical Center | General Acute Care Hospital | 308 Ashford Dr, Lancaster, PA 17601-3518 | 2007-05-19 |
| 1437122926 | Lancaster Hospital Corporation | General Acute Care Hospital | 800 W Meeting St, Lancaster, SC 29720-2202 | 2006-02-07 |
| 1295736593 | Merit Lancaster,lp | General Acute Care Hospital | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 | 2005-08-09 |
| 1700359205 | Medical University Hospital Authority | General Acute Care Hospital | 800 W Meeting St, Lancaster, SC 29720-2202 | 2019-01-07 |
| 1083147656 | Upmc Pinnacle Lancaster | General Acute Care Hospital | 250 College Ave, Lancaster, PA 17603-3363 | 2017-04-10 |
| 1770952665 | Fairfield Medical Center | General Acute Care Hospital | 401 N Ewing St, Lancaster, OH 43130-3372 | 2015-09-21 |
| 1578999785 | Lancaster General Health | General Acute Care Hospital | 555 N Duke St, Lancaster, PA 17602-2250 | 2013-09-19 |
| 1851632616 | Lancaster Regional Hospital, Lp | General Acute Care Hospital | 2600 W Pleasant Run Rd, Lancaster, TX 75146-1114 | 2013-03-04 |
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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.