NPIMap

Organization Active NPI

Unified Health Associates

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
National Provider Identifier
1326773672
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIFIED HEALTH ASSOCIATES
Practice address
1206 W Avenue J Ste 100
Lancaster, CA 93534-2956
Phone
(661) 948-4429
Fax
(661) 726-6256
NPI assigned
Jul 20, 2022
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Mr. Xiao Hua Wan, D.O.NPI 1851616775
Title
Ceo
Phone
(661) 948-4429

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
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1206 W Avenue J Ste 100
Lancaster, CA 93534-2956

Mailing address

1206 W Avenue J Ste 100
Lancaster, CA 93534-2956
Phone (661) 948-4429

Other practice location 1

44215 15th St W Ste 103
Lancaster, CA 93534-5503
Phone (661) 948-4429

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907002679 CA Part B Supplier - Clinic/Group Practice 0749664910 Receives reassigned benefits from 14 practitioners
Practice locations: Lancaster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2281396Unified Health Associates1206 W Avenue J, Lancaster, CA 93534Certificate of waiverMay 4, 2027

National Provider Directory

National Provider Directory

Locations

1206 W Avenue J
Ste 100
Lancaster, CA 93534
Phone (661) 948-4429

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/adcf8c94-9b00-4842-a377-0e772d7d3145/

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1326773672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W AVENUE J STE 100",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342956",
            "telephone_number": "661-948-4429",
            "fax_number": "661-726-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W AVENUE J STE 100",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342956",
            "telephone_number": "661-948-4429",
            "fax_number": "661-726-6256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44215 15th St W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935345503",
            "country_code": "US",
            "telephone_number": "661-948-4429",
            "fax_number": "661-726-6256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIFIED HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "XIAO",
        "authorized_official_middle_name": "HUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-948-4429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.