AVANT INFUSION LLC
NPI 1306561105
Home Health in San Bernardino, CA

Active since October 05, 2022
350 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408(909) 446-6223 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About AVANT INFUSION LLC

This page provides the complete NPI Profile along with additional information for Avant Infusion Llc, a provider established in San Bernardino, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1306561105 assigned on October 2022. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Gavin Doloksaribu (Owner/president)

NPI
1306561105 Verify this NPI
Provider Name
AVANT INFUSION LLC
Entity Type
Organization
Location Address
350 COMMERCIAL RD STE 104 SAN BERNARDINO, CA 92408
Location Phone
(909) 446-6223
Mailing Address
350 COMMERCIAL RD STE 104 SAN BERNARDINO, CA 92408
Mailing Phone
(909) 446-6223
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2022
Last Update Date
10-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GAVIN DOLOKSARIBU

Authorized Official Title
OWNER/PRESIDENT
Authorized Official Phone
(909) 446-6223

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306561105, enumerated as an "organization" on October 05, 2022.

The provider is located at 350 COMMERCIAL RD STE 104 SAN BERNARDINO, CA 92408 and the phone number is (909) 446-6223.

Home Health with taxonomy code 251E00000X.