Organization Active NPI

Carmel I. Ernest, M.D., Inc.

  • Family Medicine Physician
  • Lancaster, CA
National Provider Identifier
1427100866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42995 Issued in CA
Legal business name
CARMEL I. ERNEST, M.D., INC.
Practice address
1672 W Avenue J
Suite 103
Lancaster, CA 93534-2827
Phone
(661) 949-7615
Fax
(661) 949-7679
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carmel I. Ernest, M.D.
Title
President
Phone
(661) 949-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A42995 CA Primary

Addresses

Primary practice location

1672 W Avenue J
Suite 103
Lancaster, CA 93534-2827

Mailing address

1672 W Avenue J
Suite 103
Lancaster, CA 93534-2827
Phone (661) 949-7615

Other identifiers 1

IdentifierTypeStateIssuer
00A429950MedicaidCA

National Provider Directory

National Provider Directory

Locations

1672 W Avenue J
Ste 103
Lancaster, CA 93534
Phone (661) 400-2529

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427100866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-949-7615",
            "fax_number": "661-949-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-949-7615",
            "fax_number": "661-949-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL I. ERNEST, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERNEST",
        "authorized_official_first_name": "CARMEL",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-949-7615",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A429950",
            "state": "CA"
        }
    ],
    "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 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.