ANTELOPE VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION (NPI# 1801940812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801940812 |
| Entity Type | Organization |
| Organization Name | ANTELOPE VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION |
| Other Organization Name | ANTELOPE VALLEY ENDOCRINOLOGY |
| Practice Address |
43723 20th St W Suite 204 Lancaster CA 93534-4784 |
| Practice Telephone | 6619498882 |
| Practice Fax Number | 6619498686 |
| Mailing Telephone | 6619498882 |
| Mailing Fax Number | 6619498686 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | MRS. PRAVEENA PATEL (OFFICE MANAGER) |
| Authorized Official Telephone | 6619498882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A66156 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A661560 | 05 |
| Other Name | Type Code |
|---|---|
| ANTELOPE VALLEY ENDOCRINOLOGY | Doing Business As Name - Organization |
| Street Address |
43723 20TH ST W SUITE 204 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205897535 | Sameh F Gadallah | Specialist | 43723 20th St W, Lancaster, CA 93534-4784 | 2006-03-28 |
| 1316216831 | Sanjaya Khanal, M.d., Inc. | Internal Medicine | 43723 20th St W, Suite 101, Lancaster, CA 93534-4784 | 2011-12-29 |
| 1235240557 | Kenneth Wayne Farrell | Physician Assistant | 43723 20th St W, Suite 101, Lancaster, CA 93534-4784 | 2006-08-31 |
| 1053421388 | Hassan Bacchus | Internal Medicine | 43723 20th St W, Suite 101, Lancaster, CA 93534-4784 | 2006-08-30 |
| 1164471868 | Los Angeles Cardiology Associates | Specialist | 43723 20th St W, Lancaster, CA 93534-4784 | 2006-05-09 |
| 1114988441 | Pramod V Kadambi | Specialist | 43723 20th St W, Lancaster, CA 93534-4784 | 2006-03-28 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1497906432 | Marion E Betancourt Albrecht | Internal Medicine | 901 West Meeting St Suite 205, Lancaster, SC 29720-6209 | 2008-10-08 |
| 1821400052 | Meena N Venigalla | Internal Medicine | 2112 Harrisburg Pike, Ste 200, Lancaster, PA 17601-2664 | 2014-05-22 |
| 1801221528 | Sivalingam Medical Corporation, Inc. | Internal Medicine | 44725 10th St W, Suite 280, Lancaster, CA 93534-3033 | 2013-09-12 |
| 1962744698 | Lauren Karp Brooks | Internal Medicine | 2112 Harrisburg Pike, Lancaster, PA 17601 | 2013-03-20 |
| 1871708867 | Meijuan Yan | Internal Medicine | 2112 Harrisburg Pike, Suite 200, Lancaster, PA 17601-2644 | 2007-05-11 |
| 1124245972 | Matthew Sauder | Internal Medicine | 2112 Harrisburg Pike, Ste 200, Lancaster, PA 17601-2644 | 2007-04-20 |
| 1245312438 | Robert G Shultz | Internal Medicine | 1300 Millersville Pike, Lancaster, PA 17603-6614 | 2006-10-19 |
| 1548217680 | Karunyan Arulanantham | Internal Medicine | 45074 10th St W, Suite 109, Lancaster, CA 93534-2371 | 2006-05-27 |
| 1609829605 | Pamela Christine Pinto Pannafino | Internal Medicine | 2112 Harrisburg Pike, Suite 200, Lancaster, PA 17601-2644 | 2006-05-18 |
| 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.