Organization Active NPI

Antelope Valley Lung Institute Medical Group

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1356765655
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A87434 Issued in CA
Legal business name
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Practice address
44105 15TH St W
303
Lancaster, CA 93534-4089
Phone
(661) 945-8717
Fax
(661) 945-1118
NPI assigned
Feb 7, 2014
Organization subpart
Yes
Parent organization
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Authorized official

Name
Dr. Syed Sajeel Ahmed
Title
Owner/Partner
Phone
(661) 945-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X A87434 CA Primary

Addresses

Primary practice location

44105 15TH St W
303
Lancaster, CA 93534-4089

Mailing address

44105 15TH St W
Suite 303
Lancaster, CA 93534-4088
Phone (661) 945-8717

National Provider Directory

National Provider Directory
Part of
Antelope Valley Lung Institute Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1356765655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W",
            "address_2": "SUITE 303",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344088",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W",
            "address_2": "303",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344089",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SAJEEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "661-945-8717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A87434",
            "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 Feb 7, 2014; 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.