Organization Active NPI

Av Institute of Orthopedics Inc

  • Medical Specialty Clinic/Center
  • Palmdale, CA
National Provider Identifier
1376727867
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
C51163 Issued in CA
Legal business name
AV INSTITUTE OF ORTHOPEDICS INC
Practice address
5558 Bienveneda Ter
Palmdale, CA 93551-5728
Phone
(661) 940-6411
Fax
(661) 940-6497
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. Mohammad Sirajullah, MD
Title
Orthopedic Surgeon
Phone
(661) 940-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X C51163 CA Primary

Addresses

Primary practice location

5558 Bienveneda Ter
Palmdale, CA 93551-5728

Mailing address

5558 Bienveneda Ter
Palmdale, CA 93551-5728
Phone (661) 940-6411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1376727867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 BIENVENEDA TER",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515728",
            "telephone_number": "661-940-6411",
            "fax_number": "661-940-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5558 BIENVENEDA TER",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515728",
            "telephone_number": "661-940-6411",
            "fax_number": "661-940-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV INSTITUTE OF ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SIRAJULLAH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON",
        "authorized_official_telephone_number": "661-940-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C51163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.