NPIMap

Organization Active NPI

Av Critical Care Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Lancaster, CA
National Provider Identifier
1144723800
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
AV CRITICAL CARE INC
Practice address
44215 15TH St W Ste 105
Lancaster, CA 93534-5503
Phone
(661) 948-8000
Fax
(661) 948-8029
NPI assigned
Mar 8, 2018
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Ravi Shankar, MDNPI 1093806754
Title
Medical Doctor
Phone
(661) 948-8000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

44215 15TH St W Ste 105
Lancaster, CA 93534-5503

Mailing address

44215 15TH St W Ste 105
Lancaster, CA 93534-5503
Phone (661) 948-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180510001141 CA Part B Supplier - Clinic/Group Practice 2365706702 Receives reassigned benefits from 22 practitioners
Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

44215 15th St W
Ste 105
Lancaster, CA 93534
Phone (661) 273-5125

600 W Avenue J
Lancaster, CA 93534

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1144723800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "661-948-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 105",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "661-948-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV CRITICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "661-948-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 20, 2021; 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.