NPIMap

Organization Active NPI

Antelope Valley Lung Institute Medical Group

  • Pulmonary Disease Physician
  • Ridgecrest, CA
National Provider Identifier
1831489152
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A87434 Issued in CA
Legal business name
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Practice address
900 Heritage Way, BLDG a
Ridgecrest, CA 93555
Phone
(760) 446-4571
Fax
(661) 945-4867
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Dr. Syed Sajeel Ahmed, M.D.
Title
Partner
Phone
(760) 446-4571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A87434 CA Primary

Addresses

Primary practice location

900 Heritage Way, BLDG a
Ridgecrest, CA 93555

Mailing address

1331 W Avenue J
Suite 101
Lancaster, CA 93534-2942
Phone (661) 945-8717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1831489152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J",
            "address_2": "SUITE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342942",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HERITAGE WAY, BLDG A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-446-4571",
            "fax_number": "661-945-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SAJEEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "760-446-4571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A87434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.