THE CHILDRENS CENTER OF THE ANTELOPE VALLEY (NPI# 1457485062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457485062 |
| Entity Type | Organization |
| Organization Name | THE CHILDRENS CENTER OF THE ANTELOPE VALLEY |
| Practice Address |
45111 Fern Ave Lancaster CA 93534-2301 |
| Practice Telephone | 6619491206 |
| Practice Fax Number | 6619405452 |
| Mailing Telephone | 6619491206 |
| Mailing Fax Number | 6619405452 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | R SUE PAGE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6619491206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659616860 | The Childrens Center of The Antelope Valley | Case Management | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2012-11-29 |
| Street Address |
45111 FERN AVE |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173702 | Leila Alton | Student in an Organized Health Care Education/Training Program | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-10-28 |
| 1184223026 | Jessica M Pacheco | Counselor | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-10-21 |
| 1265031462 | Rebecca White | Counselor | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-10-20 |
| 1407462880 | Paul Newland | Counselor | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-09-21 |
| 1053946657 | Karen Ramirez Morales | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-04 |
| 1053946749 | Elijah Ray Azuela | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
| 1588298202 | Bianca Rico | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
| 1275167991 | Melissa Cecilia Contreras | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
| 1891329512 | Alexis Chavez | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
| 1467086173 | Kevin Francisco Reyes | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
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| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1437714631 | Mitchell Boys Home Inc | Clinic/Center | 43728 22nd St E, Lancaster, CA 93535-5650 | 2019-05-03 |
| 1770824617 | Ther Milton S. Hershey Medical Center | Clinic/Center | 2170 Noll Dr, Lancaster, PA 17603-7609 | 2013-03-01 |
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| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
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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.