Antelope Valley Supportive Care & Hosp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANTELOPE VALLEY SUPPORTIVE CARE & HOSP

Practice address

1505 W Avenue J Ste 303
Lancaster, CA 93534-2845

Phone

(661) 247-8345

Fax

(661) 247-8346

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Daniel Khodabakhsh, MD

Title

Medical Director

Phone

(661) 247-8345

Specialties & licenses 1

Addresses

Other names 1

• Antelope Valley Supportive Care and Hospice Inc. Doing business as

Locations

Practitioners 2

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

• Malkeet Gupta, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Los Angeles, CA
  • NPI 1427002666
  NPD (past)
• Howard Eun Lee, MD

  • Medical Oncology Physician
  • Stanford, CA
  • NPI 1891702312
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1225436967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W AVENUE J STE 303",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342845",
            "telephone_number": "661-247-8345",
            "fax_number": "661-247-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W AVENUE J STE 303",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342845",
            "telephone_number": "661-247-8345",
            "fax_number": "661-247-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY SUPPORTIVE CARE & HOSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "KHODABAKHSH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-247-8345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Supportive Care and Hospice Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antelope Valley Physical Therapy, Inc.
• Antelope Valley Primary Care Group
• Antelope Valley Rehabilitation Centers
• Antelope Valley Ride Inc.
• Antelope Valley SNF Healthcare, LLC
• Antelope Valley Supportive Care and Hospice Non-Profit
• Antelope Valley Surgery Center LP
• Antelope Valley Surgical Associates
• Antelope Valley Surgical Institute, LLC
• Antelope Valley Transit Authority

• Community Based Hospice Care Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.