Antelope Valley Hospital Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ANTELOPE VALLEY HOSPITAL INC

Practice address

1600 W Avenue J
Lancaster, CA 93534-2814

Phone

(661) 949-5000

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By 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

Mr. Michael L Wall

Title

Chief Executive Officer

Phone

(661) 949-5533

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Wendy Fuentes, NP

  • Primary Care Nurse Practitioner
  • Lancaster, CA
  • NPI 1336674571
  NPD (past)
• David Alan Haase, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1174027254
  NPD (past)

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1649753575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-949-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "661-949-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-949-5533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366419517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Health Care District (Antelope Valley Medical Center Infusion)
• Antelope Valley Health Care District
• Antelope Valley Histology LLC
• Antelope Valley Hospital
• Antelope Valley Hospital District
• Antelope Valley Hospital OB Clinic Lancaster
• Antelope Valley Hospital Physicians Medical Group, PC
• Antelope Valley Inpatient Pediatric Associates, Inc
• Antelope Valley Kidney Institute, a Professional Corporation
• Antelope Valley Lung & Sleep Institute, Inc

• General Acute Care Hospital in Lancaster, CA
• Providers in Lancaster, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.