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GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY
NPI 1043449192
Specialist in Palmdale, CA

Active since July 10, 2009CLIA 05D0674759 · Waiver
41210 11TH ST W, SUITE C, PALMDALE, CA 93551(661) 947-7100(661) 947-5151 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garrison Family Medical Group Canyon Country NPPES

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

GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY (NPI 1043449192) is a healthcare organization registered as a specialist in Palmdale, California and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through January 1, 2027 and lists Antonette Abatti, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1043449192
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGARRISON FAMILY MEDICAL GROUP CANYON COUNTRY
Location Address41210 11TH ST W, SUITE CPalmdale, CA 93551-1447
Mailing Address41210 11th St W, Suite CPalmdale, CA 93551-1447 · (661) 947-7100 · Fax (661) 947-5151
Phone(661) 947-7100
Fax(661) 947-5151
Organization SubpartYesParent: Garrison Family Medical Group
Authorized OfficialAntonette AbattiBusiness Administrator · (661) 947-7100
Enumeration DateJuly 10, 2009
✔ NPI 1043449192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G50780
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
41210 11TH ST W, Palmdale, CA 93551
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 05D0674759

Garrison Family Medical Group · Palmdale, CA
Active · expires Jan 1, 2027
CLIA Number05D0674759
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorRic S. Garrison
Laboratory Phone(661) 947-7100
Laboratory LocationGarrison Family Medical Group41210 11th St W Suite C, Palmdale, CA 93551
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

PALMDALE UROLOGY
Urology
41210 11TH ST W, STE D
PALMDALE, CA 93551
Los Angeles County (661) 266-1100
GARRISON FAMILY MEDICAL GROUP
Family Medicine
41210 11TH ST W, SUITE C
PALMDALE, CA 93551
Los Angeles County (661) 947-7100
LOS ANGELES CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
41210 11TH ST W, SUITE G
PALMDALE, CA 93551
Los Angeles County (661) 274-1777
SARAH ROBERTSON NP
Nurse Practitioner (Family)
41210 11TH ST W
PALMDALE, CA 93551
Los Angeles County (661) 947-7100
MRS. STEPHANIE LYNN WADE C-FNP
Nurse Practitioner (Family)
41210 11TH ST W, SUITE K
PALMDALE, CA 93551
Los Angeles County (661) 947-7100
RANJIV CHOUDHARY, M.D. INC.
Specialist
41210 11TH ST W, SUITE G
PALMDALE, CA 93551
Los Angeles County (661) 274-1777
FRANCISCO RIOS CAMARILLO NP
General Acute Care Hospital
41210 11TH ST W, SUITE C
PALMDALE, CA 93551
Los Angeles County (661) 947-7100
DR. RANJIV S CHOUDHARY M.D.
Specialist
41210 11TH ST W, STE G
PALMDALE, CA 93551
Los Angeles County (661) 274-1777

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 Garrison Family Medical Group Canyon Country's NPI number?

The NPI number for Garrison Family Medical Group Canyon Country is 1043449192. It was assigned to this organization in the NPPES registry on July 10, 2009.

Where is Garrison Family Medical Group Canyon Country located?

Garrison Family Medical Group Canyon Country is located at 41210 11th St W Suite C, Palmdale, CA 93551. The listed phone number is (661) 947-7100.

What is Garrison Family Medical Group Canyon Country's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Garrison Family Medical Group Canyon Country hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0674759) is associated with this NPI, valid through January 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Garrison Family Medical Group Canyon Country accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Garrison Family Medical Group Canyon Country as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Garrison Family Medical Group Canyon Country was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.