Organization Active NPI

Antelope Valley Lung Institute Medical Group

  • Pulmonary Disease Physician
  • Tehachapi, CA
National Provider Identifier
1699184085
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Practice address
20211 Valley Blvd
Tehachapi, CA 93561-8751
Phone
(661) 945-8717
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Syed Sajeel AhmedNPI 1932188521
Title
Owner/Partner
Phone
(661) 945-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

20211 Valley Blvd
Tehachapi, CA 93561-8751

Mailing address

20211 Valley Blvd.
Tehachapi, CA 93561-8751
Phone (661) 945-8717

National Provider Directory

National Provider Directory
Part of
Antelope Valley Lung Institute Medical Group

Locations

1615 N Downs St
Apt A
Ridgecrest, CA 93555
Phone (661) 945-8717

20211 W Valley Blvd
Ste A
Tehachapi, CA 93561
Phone (661) 945-8717

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1699184085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 VALLEY BLVD.",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618751",
            "telephone_number": "661-945-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20211 VALLEY BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618751",
            "telephone_number": "661-945-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SAJEEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "661-945-8717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.