The Women's Clinic a Medical Group of the Antelope Valley

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY

Practice address

44105 N. 15TH St W
Suite 304
Lancaster, CA 93534

Phone

(661) 949-5899

Fax

(661) 949-5832

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jeannine Mata

Title

Acct Manager

Phone

(661) 949-5899

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1548226491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 N. 15TH ST W",
            "address_2": "SUITE 304",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-949-5899",
            "fax_number": "661-949-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44105 N. 15TH ST W",
            "address_2": "SUITE 304",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-949-5899",
            "fax_number": "661-949-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMEN'S CLINIC A MEDICAL GROUP OF THE ANTELOPE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "ACCT MANAGER",
        "authorized_official_telephone_number": "661-949-5899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR GUPTA  STATE LICENSE",
            "identifier": "A88415",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G451540",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A380080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Children's Center of the Antelope Valley
• The Children's Center of the Antelope Valley
• The Childrens Center of the Antelope Valley
• The People Concern
• The Reflection Room
• Thelma T Fernandez M D a Professional Corporation
• Christopher Theobald, LMFT
• Therapeutic Time Inc.
• Michael Clair Theurer, D.D.S.,MS,PC
• Chitta Thiagarajah, M.D.

• Specialist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.