Antelope Valley Neuroscience

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ANTELOPE VALLEY NEUROSCIENCE

Practice address

42135 10TH St W
Suite 301
Lancaster, CA 93534-7095

Phone

(661) 945-6931

Fax

(661) 945-4592

NPI assigned

Sep 16, 2005

Last updated

Oct 7, 2014By 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

Abdallah S Farrukh, MDNPI 1932135266

Title

Partner

Phone

(661) 945-6931

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 17

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.

• Abdallah S Farrukh, MD

  • Neurological Surgery Physician
  • Lancaster, CA
  • NPI 1932135266
  Medicare reassignment Care Compare group Authorized official
• Imad Abumeri, M.D.

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1295732980
  Medicare reassignment Care Compare group NPD
• Omar A Farrukh, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Lancaster, CA
  • NPI 1619530094
  Medicare reassignment Care Compare group NPD
• Manprit K Dhillon, MD

  • Neurological Surgery Physician
  • Lancaster, CA
  • NPI 1710963038
  Medicare reassignment Care Compare group
• Lingaiah Janumpally, MD

  • Neurology Physician
  • Lancaster, CA
  • NPI 1003892316
  Medicare reassignment Care Compare group
• Gautam Kareti, MD

  • Neurology Physician
  • Lancaster, CA
  • NPI 1134326697
  Medicare reassignment Care Compare group
• Kaveh Saremi, M.D.

  • Neurology Physician
  • Huntington Beach, CA
  • NPI 1447437769
  Medicare reassignment
• Marvin Buenaventura

  • Primary Care Nurse Practitioner
  • Ridgecrest, CA
  • NPI 1790481521
  NPD (past)
• Savita Dongre, NP

  • Primary Care Nurse Practitioner
  • Ridgecrest, CA
  • NPI 1134875123
  NPD (past)
• Erin Feagley, FNP-C

  • Nurse Practitioner
  • Ridgecrest, CA
  • NPI 1225922073
  NPD (past)
• Cecilia Fisher, RDN

  • Registered Dietitian
  • Rosamond, CA
  • NPI 1457060634
  NPD (past)
• Shahla Deba Khan, R.D.

  • Registered Dietitian
  • Palo Alto, CA
  • NPI 1548513567
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1114912979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-945-6931",
            "fax_number": "661-945-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42135 10TH ST W",
            "address_2": "SUITE 301",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347095",
            "telephone_number": "661-945-6931",
            "fax_number": "661-945-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY NEUROSCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "FARRUKH",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "661-945-6931",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP20677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Medical Associates
• Antelope Valley Mental Health Clinic
• Antelope Valley Mental Health Clinic
• Antelope Valley Neonatology Group
• Antelope Valley Nephrology Medical Group, Inc.
• Antelope Valley Optometric Center, Inc.
• Antelope Valley Oral Surgery, Dental Group of Gregory R. Urfrig, DMD a
• Antelope Valley Orthopaedic& Rehabiliation Specialists
• Antelope Valley Outpatient Imaging Center, LLC
• Antelope Valley Outpatient Imaging Center, LLC

• Neurology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.