NPIMap

Organization Active NPI

Bartz-Altadonna Community Health Center

  • Community/Retail Pharmacy
  • Lancaster, CA
National Provider Identifier
1700672011
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
Practice address
43322 Gingham Ave
Lancaster, CA 93535-4576
Phone
(661) 874-4232
Fax
(888) 905-5334
NPI assigned
Apr 15, 2025
Organization subpart
Yes
Parent organization
BARTZ-ALTADONNA COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mary Antoinette Cummings
Title
Ceo
Phone
(661) 466-3895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

43322 Gingham Ave
Lancaster, CA 93535-4576

Mailing address

43322 Gingham Ave
Lancaster, CA 93535-4576
Phone (661) 874-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250716002426 CA Part B Supplier - Pharmacy 6204090178 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Bartz-Altadonna Community Health Center

Locations

12560 Boron Ave
Boron, CA 93516
Phone (760) 762-5064

43322 Gingham Ave
Ste 103
Lancaster, CA 93535

43322 Gingham Ave
Unit 1
Lancaster, CA 93535

43322 Gingham Ave
Ste 104
Lancaster, CA 93535
Phone (661) 874-4051

43210 Gingham Ave
Lancaster, CA 93535
Phone 6618744050222

43322 Gingham Ave
Ste 101
Lancaster, CA 93535

2520 E Palmdale Blvd
Ste A
Palmdale, CA 93550

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bartz-Altadonna Community Health CenterLancaster, CA, CCN 551182 Federally qualified health center Operational/Managerial Control May 10, 2010
Bartz-Altadonna Community Health CenterPalmdale, CA, CCN 921934 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 6, 2012
Bartz-Altadonna Community Health CenterLancaster, CA, CCN 921977 Federally qualified health center Operational/Managerial Control (100%) Feb 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 74

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1700672011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43322 GINGHAM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354576",
            "telephone_number": "661-874-4050",
            "fax_number": "888-905-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43322 GINGHAM AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354576",
            "telephone_number": "661-874-4232",
            "fax_number": "888-905-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTZ-ALTADONNA COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARTZ-ALTADONNA COMMUNITY HEALTH CENTER",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-466-3895"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.