ANTELOPE VALLEY NEUROSCIENCE
NPI 1114912979
Psychiatry & Neurology - Neurology in Lancaster, CA

Active since September 16, 2005
42135 10TH ST W, SUITE 301, LANCASTER, CA 93534(661) 945-6931(661) 945-4592 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Antelope Valley Neuroscience NPPES

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

ANTELOPE VALLEY NEUROSCIENCE (NPI 1114912979) is a healthcare organization registered as a neurology in Lancaster, California and active in the NPI registry since September 2005. The organization lists Abdallah S Farrukh, Partner, as its authorized official.

NPPES Registry Identity

NPI1114912979
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameANTELOPE VALLEY NEUROSCIENCE
Location Address42135 10TH ST W, SUITE 301Lancaster, CA 93534-7095
Mailing Address42135 10th St W, Suite 301Lancaster, CA 93534-7095 · (661) 945-6931 · Fax (661) 945-4592
Fax(661) 945-4592
Organization SubpartNo
Authorized OfficialAbdallah S FarrukhPartner · (661) 945-6931
Enumeration DateSeptember 16, 2005
Last NPPES UpdateOctober 7, 2014
✔ NPI 1114912979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP20677 (CA)
42135 10TH ST W, Lancaster, CA 93534

Other Identifiers 3

MedicaidZZZ83620ZCA
Medicare ID-Type UnspecifiedHW5872CA
Medicare ID-Type UnspecifiedW5872CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antelope Valley Neuroscience is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Antelope Valley Neuroscience, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Neurology
NPI 1134326697
42135 10TH ST W STE 301
Lancaster, CA 93534
(661) 945-6931
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1003892316
42135 10TH ST W SUITE # 301
Lancaster, CA 93534
(661) 945-6931
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1710963038
42135 10TH ST W SUITE # 301
Lancaster, CA 93534
(661) 945-6931
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1932135266
42135 10TH ST W SUITE # 301
Lancaster, CA 93534
(661) 945-6931
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619530094
42135 10TH ST W STE 301
Lancaster, CA 93534
(661) 945-6931
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1447437769
19582 BEACH BLVD STE 270
Huntington Beach, CA 92648
(714) 718-0988
✔ PECOS✔ Accepts Medicare67 mi
Neurosurgery
NPI 1295732980
2001 F ST
Bakersfield, CA 93301
(661) 404-4731
✔ PECOS✔ Accepts Medicare71 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neuroscience's NPI number?

The NPI number for Antelope Valley Neuroscience is 1114912979. It was assigned to this organization in the NPPES registry on September 16, 2005.

Where is Antelope Valley Neuroscience located?

Antelope Valley Neuroscience is located at 42135 10th St W Suite 301, Lancaster, CA 93534. The listed phone number is (661) 945-6931.

What is Antelope Valley Neuroscience's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Antelope Valley Neuroscience enrolled in Medicare?

Yes. Antelope Valley Neuroscience is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Antelope Valley Neuroscience?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Antelope Valley Neuroscience. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (3), Neurosurgery (3) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Antelope Valley Neuroscience was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.