Antelope Valley Neonatology Group

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

ANTELOPE VALLEY NEONATOLOGY GROUP

Practice address

44155 15TH St W
Lancaster, CA 93534-4079

Phone

(661) 949-5366

Fax

(661) 949-5039

NPI assigned

May 18, 2020

Last updated

Mar 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Murugesamudaliar Thangavel, MD

Title

Partner

Phone

(661) 400-6577

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

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.

• Shahriar Mokrian, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Lancaster, CA
  • NPI 1285952952
  NPD (past)
• Angela Therese Capay Flores, M.D.

  • Neonatal-Perinatal Medicine Physician
  • El Paso, TX
  • NPI 1336344167
  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1629691209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44155 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "661-949-5366",
            "fax_number": "661-949-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY NEONATOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "THANGAVEL",
        "authorized_official_first_name": "MURUGESAMUDALIAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "661-400-6577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CALIFORNIA",
            "identifier": "A34117",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CALIFORNIA",
            "identifier": "A117369",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CALIFORNIA",
            "identifier": "A134941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Lung Institute Medical Group
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• Antelope Valley Mental Health Clinic
• Antelope Valley Mental Health Clinic
• Antelope Valley Nephrology Medical Group, Inc.
• Antelope Valley Neuroscience
• Antelope Valley Optometric Center, Inc.
• Antelope Valley Oral Surgery, Dental Group of Gregory R. Urfrig, DMD a
• Antelope Valley Orthopaedic& Rehabiliation Specialists

• Neonatal-Perinatal Medicine Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.