ANTELOPE VALLEY KIDNEY INSTITUTE, A PROFESSIONAL CORPORATION (NPI# 1770609711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770609711 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY KIDNEY INSTITUTE, A PROFESSIONAL CORPORATION |
| Practice Address |
43932 15th St Reet West Suite 103 Lancaster CA 93534-5207 |
| Mailing Address |
43932 15th St W Suite 103 Lancaster CA 93534-5207 |
| Practice Telephone | 6619457755 |
| Practice Fax Number | 6619457786 |
| Mailing Telephone | 6619457755 |
| Mailing Fax Number | 6619457786 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | DR. VINAY SUNKU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6619457755 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
43932 15TH ST REET WEST SUITE 103 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-5207 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124388541 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1650 Manheim Pike, Lancaster, PA 17601-3056 | 2012-05-18 |
| 1730285818 | Antelope Valley Dialysis Center Medical Group, Inc | Clinic/Center | 1759 W Avenue J # 102, Lancaster, CA 93534-2703 | 2006-09-15 |
| 1407968209 | Bio-medical Applications of California, Inc. | Clinic/Center | 44950 Valley Central Way Ste 108-109, Lancaster, CA 93536-7209 | 2006-08-31 |
| 1013959683 | Lancaster Dialysis LLC | Clinic/Center | 3250 W Pleasant Run Rd, Ste 280, Lancaster, TX 75146-1067 | 2006-06-11 |
| 1760445548 | Total Renal Care Texas Limited Partnership | Clinic/Center | 2424 W Pleasant Run Rd, Lancaster, TX 75146-4005 | 2006-04-11 |
| 1629030432 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 1412 E King St, Lancaster, PA 17602-3240 | 2006-04-05 |
| 1578525614 | Dva Healthcare Renal Care Inc | Clinic/Center | 1100 West Meeting St, Lancaster, SC 29720-2251 | 2006-04-04 |
| 1548671522 | Regional Dialysis Center of Lancaster LLC | Clinic/Center | 2500 W Pleasant Run Rd, Suite 100, Lancaster, TX 75146-1170 | 2014-05-13 |
| 1811257108 | Physicians Dialysis of Lancaster LLC | Clinic/Center | 2100 Harrisburg Pike, Fl 3, Lancaster, PA 17601-2644 | 2012-05-21 |
| 1972752236 | Fresenius Medical Care Lancaster Nephrology Investments LLC | Clinic/Center | 1550 Sheridan Dr, Suite 206, Lancaster, OH 43130-1381 | 2008-09-11 |
| Find all providers in LANCASTER | ||||
Please comment or provide details below to improve the information on ANTELOPE VALLEY KIDNEY INSTITUTE, A PROFESSIONAL CORPORATION.
| 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.