NPIMap

Organization Active NPI

Antelope Valley Hospital OB Clinic Palmdale

  • Non-Surgical Family Planning Clinic/Center
  • Palmdale, CA
National Provider Identifier
1154783140
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
ANTELOPE VALLEY HOSPITAL OB CLINIC PALMDALE
Practice address
38350 40TH St E
Suite 200
Palmdale, CA 93552-3075
Phone
(661) 726-6325
Fax
(661) 726-6333
NPI assigned
Mar 28, 2016
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTELOPE VALLEY HEALTHCARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mr. Michael Wall
Title
Chief Executive Officer
Phone
(661) 949-5512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

38350 40TH St E
Suite 200
Palmdale, CA 93552-3075

Mailing address

1600 W Avenue J
Lancaster, CA 93534-2814
Phone (661) 726-6325

National Provider Directory

National Provider Directory
Tax ID family
Antelope Valley Hospital OB Clinic Lancaster5 organizations share this tax ID, including this one
Part of
Antelope Valley Hospital OB Clinic Lancaster

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

38350 40th St E
Ste 200
Palmdale, CA 93552
Phone (661) 726-6325

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1154783140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-726-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38350 40TH ST E",
            "address_2": "SUITE 200",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935523075",
            "telephone_number": "661-726-6325",
            "fax_number": "661-726-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY HOSPITAL OB CLINIC PALMDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE VALLEY HEALTHCARE DISTRICT",
        "enumeration_date": "2016-03-28",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-949-5512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.