Av Behavioral Medicine, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A53570 Issued in CA

Legal business name

AV BEHAVIORAL MEDICINE, INC

Practice address

1672 W Avenue J Ste 110
Lancaster, CA 93534-2859

Phone

(661) 723-9557

Fax

(661) 347-3320

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Marites P Del Rosario, MDNPI 1205937349

Title

Medical Director/ Owner

Phone

(661) 726-2949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marites P Del Rosario, M.D.

  • Specialist
  • Lancaster, CA
  • NPI 1205937349
  Medicare reassignment Care Compare group NPD Authorized official
• Roy B Del-Rosario, M.D.

  • Psychiatry Physician
  • Lancaster, CA
  • NPI 1740381870
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1881070100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "110",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-723-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J STE 110",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342859",
            "telephone_number": "661-723-9557",
            "fax_number": "661-347-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV BEHAVIORAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "MARITES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "661-726-2949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A53570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.