DR. ALON ANTEBI (NPI# 1639174816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639174816 |
| Entity Type | Individual |
| Full Name | DR. ALON ANTEBI |
| Credential | DO |
| Practice Address |
42135 10th St W Suite 101 Lancaster CA 93534-7095 |
| Practice Telephone | 6617265005 |
| Practice Fax Number | 6617265377 |
| Mailing Telephone | 6617265005 |
| Mailing Fax Number | 6617265377 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2014-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
20A8954 | CA | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
OS8890 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PROV # | W20A8954A | 01 |
| CA | MEDI-CAL | 00AX89540 | 01 |
| CA | BC OF CA | 061742929 | 01 |
| FL | 269326700 | 05 | |
| CA | UPIN | I15007 | 01 |
| CA | RR MEDICARE | P00260096 | 01 |
| CA | BS OF CA | 020A89540 | 01 |
| Street Address |
42135 10TH ST W SUITE 101 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174063788 | Embassy Surgery Center, LLC | Clinic/Center | 42135 10th St W, Suite 325, Lancaster, CA 93534-7095 | 2017-03-01 |
| 1518403849 | Michelle Welch | Nurse Practitioner | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2017-01-10 |
| 1780970517 | Sandra Kay Callaghan | Nurse Practitioner | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2011-06-20 |
| 1427381391 | Elsa H Ramirez | Nurse Practitioner | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2009-09-10 |
| 1710167994 | Tik Lung Dion Fung | Psychiatry & Neurology | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2007-11-06 |
| 1639373590 | Justin B. Heller | Orthopaedic Surgery | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2007-06-13 |
| 1679580096 | Mukesh Misra | Neurological Surgery | 42135 10th St W, Suite 301, Lancaster, CA 93534-7095 | 2006-08-01 |
| 1932135266 | Abdallah S Farrukh | Neurological Surgery | 42135 10th St W, Suite # 301, Lancaster, CA 93534-7095 | 2006-06-26 |
| 1942263322 | Gerard H Boghossian | Podiatrist | 42135 10th St W, Suite 101, Lancaster, CA 93534-7095 | 2006-04-07 |
| 1003892316 | Lingaiah Janumpally | Psychiatry & Neurology | 42135 10th St W, Suite # 301, Lancaster, CA 93534-7095 | 2005-12-19 |
| Find all providers in the same location | ||||
| 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 | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1609219658 | Matthew John Herring | Orthopaedic Surgery | Ucsf Orthopaedic Trauma Institute, 2550 23rd St., Bldg. 9, 2nd Floor, San Francisco, CA 94110 | 2013-04-09 |
| 1609038256 | Vahdatyar Amirpour M.d. Inc | Orthopaedic Surgery | 2501 H St, Bakersfield, CA 93301-2817 | 2008-06-25 |
| 1639336076 | Christian Seaholm Bromfield | Orthopaedic Surgery | 6600 Bruceville Rd Ste 111, Sacramento, CA 95823-4671 | 2008-05-22 |
| 1629255237 | David C Chang | Orthopaedic Surgery | 307 Placentia Ave., Suite # 111, Newport Beach, CA 92663 | 2008-01-25 |
| 1881881431 | Christopher Max Hoshino | Orthopaedic Surgery | 1000 W Carson St # 422, Torrance, CA 90502-2004 | 2007-09-27 |
| 1487840583 | John H. Serocki, Md, Apc | Orthopaedic Surgery | 9834 Genesee Ave #228, La Jolla, CA 92037 | 2007-09-21 |
| 1144300385 | Gary Jack Phipps | Orthopaedic Surgery | 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 | 2006-10-16 |
| 1013024926 | Aaron G. Osborne, D.o., Inc. | Orthopaedic Surgery | 2480 Sonoma St, Redding, CA 96001-3027 | 2006-08-24 |
| 1689689176 | Lorra Marie Sharp | Orthopaedic Surgery | 1955 Citracado Pkwy Ste 200, Escondido, CA 92029-4112 | 2006-07-31 |
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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.