Organization Active NPI

Antelope Valley Orthopaedic& Rehabiliation Specialists

  • Orthopaedic Surgery Physician
  • Lancaster, CA
National Provider Identifier
1033304035
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
20A8954 Issued in CA
Legal business name
ANTELOPE VALLEY ORTHOPAEDIC& REHABILIATION SPECIALISTS
Practice address
44105 15TH St W
Suite 201
Lancaster, CA 93534-4088
Phone
(661) 726-5005
Fax
(661) 726-5377
NPI assigned
Sep 12, 2007
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Lydia N Baker
Title
Office Manager
Phone
(661) 726-5005

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20A8954 CA Primary
Pain Medicine Physician 208VP0000X 20A8971 CA

Addresses

Primary practice location

44105 15TH St W
Suite 201
Lancaster, CA 93534-4088

Mailing address

44105 15TH St W
Suite 201
Lancaster, CA 93534-4088
Phone (661) 726-5005

Other names 1

  • AVORS Other name

National Provider Directory

National Provider Directory

Locations

44105 15th St W
Ste 201
Lancaster, CA 93534
Phone (661) 726-5005

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1033304035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344088",
            "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": "44105 15TH ST W",
            "address_2": "SUITE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344088",
            "telephone_number": "661-726-5005",
            "fax_number": "661-726-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY ORTHOPAEDIC& REHABILIATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-726-5005"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8954",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A8971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVORS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.