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ANTELOPE VALLEY SURGICAL ASSOCIATES
NPI 1144433434
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lancaster, CA

Active since May 07, 2007
1331 W AVENUE J, SUITE 203, LANCASTER, CA 93534(661) 945-4433(661) 940-0206 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antelope Valley Surgical Associates NPPES

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

ANTELOPE VALLEY SURGICAL ASSOCIATES (NPI 1144433434) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Lancaster, California and active in the NPI registry since May 2007. The organization lists Pavel Vaclav Petrik, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144433434
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameANTELOPE VALLEY SURGICAL ASSOCIATES
Location Address1331 W AVENUE J, SUITE 203Lancaster, CA 93534-2942
Mailing Address1331 W Avenue J, Suite 203Lancaster, CA 93534-2942 · (661) 945-4433 · Fax (661) 940-0206
Phone(661) 945-4433
Fax(661) 940-0206
Organization SubpartNo
Authorized OfficialPavel Vaclav PetrikCeo · (661) 945-4433
Enumeration DateMay 7, 2007
Last NPPES UpdateJanuary 3, 2012
✔ NPI 1144433434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in CA · G74861✔ Licensed in CA · A35504
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1331 W AVENUE J, Lancaster, CA 93534
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Other Identifiers 2

MedicaidGR0091800CA
Medicare ID-Type UnspecifiedW15432CA

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

Other Providers at the Same Location NPPES 17

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

RACQUEL ELIZABETH SHORES CASE MANAGER
Counselor
1331 W AVENUE J, SUITE 202
LANCASTER, CA 93534
Los Angeles County (661) 940-9094
SHAN A NATHAN MD A PROFESSIONAL CORPORATION
Internal Medicine (Pulmonary Disease)
1331 W AVENUE J, SUITE 101
LANCASTER, CA 93534
Los Angeles County (661) 945-8717
JULIE YOLANDA MCKEEHAN
Student in an Organized Health Care Education/Training Program
1331 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 940-9094
MICHAEL CALVIN WATTS SUDRC18554
Counselor (Addiction (Substance Use Disorder))
1331 W AVENUE J
LANCASTER, CA 93534
Los Angeles County (661) 802-7167
LEONARD S. KURIAN, M D A MEDICAL CORP.
Specialist
1331 W AVENUE J, SUITE 102
LANCASTER, CA 93534
Los Angeles County (661) 726-7200
TOM MAHENDRA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1331 W AVENUE J, SUITE 203
LANCASTER, CA 93534
Los Angeles County (661) 945-4433
SUN BO SHIM
Marriage & Family Therapist
1331 W AVENUE J, SUITE 202
LANCASTER, CA 93534
Los Angeles County (661) 940-9094
DAMLE MEDICAL CORP
Specialist
1331 W AVENUE J, SUITE 101
LANCASTER, CA 93534
Los Angeles County (661) 945-8717

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 Surgical Associates's NPI number?

The NPI number for Antelope Valley Surgical Associates is 1144433434. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is Antelope Valley Surgical Associates located?

Antelope Valley Surgical Associates is located at 1331 W Avenue J Suite 203, Lancaster, CA 93534. The listed phone number is (661) 945-4433.

What is Antelope Valley Surgical Associates's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Antelope Valley Surgical Associates was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.