Avant Infusion LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVANT INFUSION LLC

Practice address

350 Commercial Rd Ste 104
San Bernardino, CA 92408-3764

Phone

(909) 446-6223

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Gavin Doloksaribu

Title

Owner/President

Phone

(909) 446-6223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1306561105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 COMMERCIAL RD STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083764",
            "telephone_number": "909-446-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 COMMERCIAL RD STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083764",
            "telephone_number": "909-446-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "DOLOKSARIBU",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-446-6223"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Av Services
• Alina Avalos
• Cindy Avalos
• Elena M Avalos
• Evaenjelina Avalos
• Agustin Ulises Avantes, B.A.
• Yasmin Alejandra Avendano
• Lamont Avery
• Andrea Avila Silva
• Anthony Jason Avila

• Home Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.