Active NPI
Valley Infant Pediatric & Complete Family Care
- Internal Medicine Physician
- Lancaster, CA
National Provider Identifier
1851564561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G46246
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G46246 | CA | |
| Internal Medicine Physician | 207R00000X | G46246 | CA | Primary |
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G462460 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.