A V Family Medicine Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A24933 Issued in CA

Legal business name

A V FAMILY MEDICINE INC.

Practice address

43841 10TH St W
Lancaster, CA 93534-4802

Phone

(661) 948-4707

Fax

(661) 723-4967

NPI assigned

Aug 23, 2012

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melquiades Rivero Valenzuela, M.D.

Title

President

Phone

(661) 948-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1043568066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43841 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344802",
            "telephone_number": "661-948-4707",
            "fax_number": "661-723-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43841 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344802",
            "telephone_number": "661-948-4707",
            "fax_number": "661-723-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A V FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "MELQUIADES",
        "authorized_official_middle_name": "RIVERO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-948-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A24933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A249330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.