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ANTELOPE VALLEY IMPOTENCE & INCONTINENCE MEDICAL CENTER, INC
NPI 1043315120
Urology in Palmdale, CA

Active since September 14, 2006CLIA 05D0869051 · Waiver
38921 TRADE CENTER DR, PALMDALE, CA 93551(661) 945-0601(833) 974-2391 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antelope Valley Impotence & Incontinence Medical Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTELOPE VALLEY IMPOTENCE & INCONTINENCE MEDICAL CENTER, INC (NPI 1043315120) is a healthcare organization registered as an urology in Palmdale, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Eugene Clement Rajaratnain, Ceo/urologist, as its authorized official.

NPPES Registry Identity

NPI1043315120
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameANTELOPE VALLEY IMPOTENCE & INCONTINENCE MEDICAL CENTER, INC
Location Address38921 TRADE CENTER DRPalmdale, CA 93551-3652
Mailing Address38921 Trade Center DrPalmdale, CA 93551-3652 · (661) 945-0601 · Fax (833) 974-2391
Phone(661) 945-0601
Fax(833) 974-2391
Organization SubpartNo
Authorized OfficialEugene Clement RajaratnainCeo/urologist · (661) 945-0601
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1043315120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · C042345
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
38921 TRADE CENTER DR, Palmdale, CA 93551
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Other Identifiers 1

MedicaidOOC423450CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0869051

Antelope Valley Impotence & Incontinence Medical Center Inc · Lancaster, CA
Active · expires Aug 31, 2026
CLIA Number05D0869051
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEugene C. Rajaratnam
Laboratory Phone(661) 945-0601
Laboratory LocationAntelope Valley Impotence & Incontinence Medical Center Inc44241 North 15th St West Suite 101, Lancaster, CA 93534
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUGENE C RAJARATNAM M.D.
Urology
38921 TRADE CENTER DR
PALMDALE, CA 93551
Los Angeles County (661) 945-0601
INFINITY SURGICAL INSTITUTE LLC
Clinic/Center (Ambulatory Surgical)
38921 TRADE CENTER DR
PALMDALE, CA 93551
Los Angeles County (661) 945-0601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antelope Valley Impotence & Incontinence Medical Center, Inc's NPI number?

The NPI number for Antelope Valley Impotence & Incontinence Medical Center, Inc is 1043315120. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Antelope Valley Impotence & Incontinence Medical Center, Inc located?

Antelope Valley Impotence & Incontinence Medical Center, Inc is located at 38921 Trade Center Dr, Palmdale, CA 93551. The listed phone number is (661) 945-0601.

What is Antelope Valley Impotence & Incontinence Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Antelope Valley Impotence & Incontinence Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0869051) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Antelope Valley Impotence & Incontinence Medical Center, Inc was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.