NPIMap

Organization Active NPI

Antelope Valley Lung & Sleep Institute, Inc

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1831658525
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ANTELOPE VALLEY LUNG & SLEEP INSTITUTE, INC
Practice address
1331 W Avenue J Ste 101
Lancaster, CA 93534-2942
Phone
(661) 945-8717
Fax
(661) 945-4867
NPI assigned
Mar 13, 2019
Last updated
Mar 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTELOPE VALLEY LUNG & SLEEP INSTITUTE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Syed S Ahmed, MDNPI 1932188521
Title
MD/Owner
Phone
(661) 945-8717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1331 W Avenue J Ste 101
Lancaster, CA 93534-2942

Mailing address

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

Other practice location 1

1535 N China Lake Blvd Ste B
Ridgecrest, CA 93555-2667
Phone (661) 945-8717

Other practice location 2

20211 Valley Blvd
Tehachapi, CA 93561-6798
Phone (661) 945-8717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190221000865 CA Part B Supplier - Clinic/Group Practice 3577801356 Receives reassigned benefits from 2 practitioners
3 other NPIs on this enrollment
Practice locations: Palmdale, CA; Ridgecrest, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Antelope Valley Lung Sleep2 organizations share this tax ID, including this one
Part of
Antelope Valley Lung Sleep

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

Ownership & related parties

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 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.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1831658525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W AVENUE J STE 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": "1331 W AVENUE J STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342942",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 N China Lake Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935552667",
            "country_code": "US",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20211 VALLEY BLVD",
            "address_purpose": "LOCATION",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935616798",
            "country_code": "US",
            "telephone_number": "661-945-8717",
            "fax_number": "661-945-4867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTELOPE VALLEY LUNG & SLEEP INSTITUTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTELOPE VALLEY LUNG & SLEEP INSTITUTE, INC",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "661-945-8717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.