Antelope Valley Medical Associates

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ANTELOPE VALLEY MEDICAL ASSOCIATES

Practice address

44469 10TH St W
Lancaster, CA 93534-3324

Phone

(661) 945-2783

Fax

(661) 723-7170

NPI assigned

Jun 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lori Gabbard

Title

Director of Operations

Phone

(661) 945-9411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952503963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44469 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-945-2783",
            "fax_number": "661-723-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44469 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343324",
            "telephone_number": "661-945-2783",
            "fax_number": "661-723-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GABBARD",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "661-945-9411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antelope Valley Lung & Sleep Institute, Inc
• Antelope Valley Lung & Sleep Institute, Inc
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Lung Institute Medical Group
• Antelope Valley Manor Inc
• Antelope Valley Mental Health Clinic
• Antelope Valley Mental Health Clinic
• Antelope Valley Neonatology Group
• Antelope Valley Nephrology Medical Group, Inc.
• Antelope Valley Neuroscience

• Preferred Provider Organization in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.