HEART CENTER OF THE ANTELOPE VALLEY MEDICAL GROUP (NPI# 1316089873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316089873 |
| Entity Type | Organization |
| Organization Name | HEART CENTER OF THE ANTELOPE VALLEY MEDICAL GROUP |
| Practice Address |
43807 10th St West Suite F Lancaster CA 93534 |
| Practice Telephone | 6619400535 |
| Practice Fax Number | 6619400537 |
| Mailing Telephone | 6619400535 |
| Mailing Fax Number | 6619400537 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANIL KUMAR (PRESIDENT) |
| Authorized Official Telephone | 6619400535 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
43807 10TH ST WEST SUITE F |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558659219 | Physician Specialists of Northern Lancaster County | Internal Medicine | 802 New Holland Avenue, Suite 200, Lancaster, PA 17602-2288 | 2011-07-15 |
| 1336434729 | John Lazarus | Internal Medicine | 2405 N Columbus St Ste 100, Lancaster, OH 43130-8189 | 2011-06-14 |
| 1073780938 | Moneer J Eddin | Internal Medicine | 43723 20th St W Ste 101, Lancaster, CA 93534-4784 | 2008-05-09 |
| 1922146661 | Antelope Valley Cardiology Associates | Internal Medicine | 43723 20th St. West, Ste 101, Lancaster, CA 93534 | 2007-02-02 |
| 1952460248 | Sanjaya Khanal | Internal Medicine | 43807 N 10th St West, Suite F, Lancaster, CA 93534 | 2006-12-06 |
| 1740380880 | Antony Cyril Ernest | Internal Medicine | 43807 10th St W, Suite A, Lancaster, CA 93534-4805 | 2006-09-25 |
| 1417961996 | Paul D. Ruff | Internal Medicine | 125 N Ewing St, Lancaster, OH 43130-3309 | 2006-07-28 |
| 1104877257 | Paul A Slota | Internal Medicine | 1029 W Meeting St, Lancaster, SC 29720-2205 | 2006-05-13 |
| 1932188729 | Giuseppe Gioia | Internal Medicine | 2135 Noll Dr, Lancaster, PA 17603-7602 | 2006-01-11 |
| 1952392987 | Gordon H Hutt | Internal Medicine | 1697 Crown Ave, Lancaster, PA 17601-6310 | 2005-10-31 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.