Antelope Valley Endocrinology, a Professional Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A66156 Issued in CA

Legal business name

ANTELOPE VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION

Doing business as

Antelope Valley Endocrinology

Practice address

43723 20TH St W
Suite 204
Lancaster, CA 93534-4784

Phone

(661) 949-8882

Fax

(661) 949-8686

NPI assigned

Jan 23, 2007

Last updated

Mar 14, 2014By 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

Mrs. Praveena Patel

Title

Office Manager

Phone

(661) 949-8882

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ANTELOPE VALLEY ENDOCRINOLOGY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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.

• Ashiq Vithalbhai Patel, M.D.

  • Specialist
  • Lancaster, CA
  • NPI 1376542811
  Medicare reassignment

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1801940812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43723 20TH ST W",
            "address_2": "SUITE 204",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344784",
            "telephone_number": "661-949-8882",
            "fax_number": "661-949-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43723 20TH ST W",
            "address_2": "SUITE 204",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344784",
            "telephone_number": "661-949-8882",
            "fax_number": "661-949-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-949-8882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A66156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A661560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTELOPE VALLEY ENDOCRINOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antelope Valley Community Clinic
• Antelope Valley Council on Alcoholism and Drug Dependency
• Antelope Valley Dialysis Center Medical Group, Inc
• Antelope Valley Domestic Violence Council (Valley Oasis)
• Antelope Valley Emergency Medical Associates Inc
• Antelope Valley Family Health Medical Group, Inc
• Antelope Valley Healing Center
• Antelope Valley Health Care District (Antelope Valley Medical Center Infusion)
• Antelope Valley Health Care District
• Antelope Valley Histology LLC

• Endocrinology, Diabetes & Metabolism Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.