Organization Active NPI

Valley Infant Pediatric & Complete Family Care

  • Internal Medicine Physician
  • Lancaster, CA
National Provider Identifier
1851564561
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46246 Issued in CA
Legal business name
VALLEY INFANT PEDIATRIC & COMPLETE FAMILY CARE
Practice address
1359 W Avenue J
Lancaster, CA 93534-2935
Phone
(661) 726-5000
Fax
(661) 726-4347
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Harihar P Agarwal, MD
Title
Co-Owner
Phone
(661) 726-5000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X G46246 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G46246 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A45531 CA

Addresses

Primary practice location

1359 W Avenue J
Lancaster, CA 93534-2935

Mailing address

1359 W Avenue J
Lancaster, CA 93534-2935
Phone (661) 726-5000

Other identifiers 1

IdentifierTypeStateIssuer
00G462460MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1851564561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342935",
            "telephone_number": "661-726-5000",
            "fax_number": "661-726-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342935",
            "telephone_number": "661-726-5000",
            "fax_number": "661-726-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INFANT PEDIATRIC & COMPLETE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "HARIHAR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "661-726-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G46246",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46246",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G462460",
            "state": "CA"
        }
    ],
    "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 Apr 3, 2008; 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.