Ark Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARK MEDICAL GROUP

Practice address

1206 W Avenue J # 220B
Lancaster, CA 93534-2914

Phone

(951) 617-0179

Fax

(951) 582-2300

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Joseph Ahoubim, DONPI 1477139319

Title

President

Phone

(951) 517-7819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Ahoubim, DO

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1477139319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1033968847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18034 VENTURA BLVD UNIT 712",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W AVENUE J # 220B",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342914",
            "telephone_number": "951-617-0179",
            "fax_number": "951-582-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "AHOUBIM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-517-7819",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Arias
• Hilda Marily Arias
• Jennifer Beth Arias
• Myra Jeannette Arias
• Pamela De Jesus Arias
• Roi Brenn Valderama Arlante
• Judy Ann Cabugao Armas, R.PH
• Sergio Armendariz
• Armond Velton Brown Enhancement Foundation
• Teri Lee Armstead, R.N

• Internal Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.