NPIMap

Organization Active NPI

Avors Medical Group

  • Orthopaedic Surgery Physician
  • Lancaster, CA
National Provider Identifier
1023297165
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A8971 Issued in CA
Legal business name
AVORS MEDICAL GROUP
Practice address
42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone
(661) 726-5005
Fax
(661) 726-5377
NPI assigned
Oct 25, 2007
Last updated
Jul 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alon Antebi, D.O.NPI 1639174816
Title
President
Phone
(661) 726-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 20A8971 CA Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 20A8954 CA

Addresses

Primary practice location

42135 10TH St W Ste 101
Lancaster, CA 93534-7099

Mailing address

42135 10TH St W Ste 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080214000223 CA Part B Supplier - Clinic/Group Practice 6901989904 Receives reassigned benefits from 24 practitioners
Practice locations: Lancaster, CA; Ridgecrest, CA; Valencia, CA
O20101214000387 CA DME Supplier - Physician - Osteopathic Manipulative Medicine 6901989904 Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

42135 10th St W
Ste 201
Lancaster, CA 93534
Phone (661) 341-3800

26357 McBean Pkwy
Ste 225
Valencia, CA 91355
Phone (661) 964-0480

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1023297165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347099",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVORS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ANTEBI",
        "authorized_official_first_name": "ALON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-726-5005",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8971",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A8954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.