Av Acute Hemodialysis Medical Group

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

499892 Issued in CA

Legal business name

AV ACUTE HEMODIALYSIS MEDICAL GROUP

Practice address

1600 W Avenue J
Lancaster, CA 93534-2814

Phone

(661) 726-6672

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ghassan Dahhan, M.D.

Title

Owner

Phone

(661) 267-7645

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265561682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504847",
            "telephone_number": "661-267-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-726-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV ACUTE HEMODIALYSIS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAHHAN",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-267-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "499892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Access Hospital in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Critical Access Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.