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ANTELOPE VALLEY COMMUNITY CLINIC-PALMDALE
NPI 1346563673
Clinic/Center - Federally Qualified Health Center (FQHC) in Palmdale, CA

Active since March 01, 2010
2151 E PALMDALE BLVD, PALMDALE, CA 93550(661) 575-0009(661) 575-0015 Get Directions Write a Review

NPPES record last updated: July 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antelope Valley Community Clinic-palmdale NPPES

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

ANTELOPE VALLEY COMMUNITY CLINIC-PALMDALE (NPI 1346563673) is a healthcare organization registered as a federally qualified health center (fqhc) in Palmdale, California and active in the NPI registry since March 2010. The organization lists James A. Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346563673
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameANTELOPE VALLEY COMMUNITY CLINIC
Location Address2151 E PALMDALE BLVDPalmdale, CA 93550-4037
Mailing Address45074 10th Street West, Suite 109Lancaster, CA 93534-2382 · (661) 575-0009 · Fax (661) 575-0015
Phone(661) 575-0009
Fax(661) 575-0015
Organization SubpartYes
Authorized OfficialJames A. CookCeo · (661) 942-2391
Enumeration DateMarch 1, 2010
Last NPPES UpdateJuly 6, 2011
✔ NPI 1346563673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 550001129
2151 E PALMDALE BLVD, Palmdale, CA 93550
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Other Names 1

Doing Business AsAntelope Valley Community Clinic-palmdale

Other Identifiers 2

Medicare OSCAR/certification551057CA
OtherCT556ACA · Medicare Ptan

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.

DR. TEJASWINI RUDRAPRAKASHA DDS
Dentist
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (562) 867-7999
GIFTY-MARIA JANE NTIM M.D.
Internal Medicine
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 575-0009
PAUL EDWARD ROUND D.O.
Pediatrics
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 942-2391
ELLEN NGO GURAY PA-C
Physician Assistant
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 942-2391
DIANA G YOUNG DMD
Dentist (General Practice)
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (562) 867-7999
MARIGOLD ROSE ALMORADIE REYES D.M.D.
Dentist (General Practice)
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 942-2391
OLUFUNKE ADUNNI ADEWUMI
Nurse Practitioner (Family)
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (562) 867-7999
DR. SEBASTIEN ERIC DARBOUZE DDS
Dentist (General Practice)
2151 E PALMDALE BLVD
PALMDALE, CA 93550
Los Angeles County (661) 485-7500

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 Community Clinic's NPI number?

The NPI number for Antelope Valley Community Clinic is 1346563673. It was assigned to this organization in the NPPES registry on March 1, 2010. The provider is doing business as Antelope Valley Community Clinic-Palmdale.

Where is Antelope Valley Community Clinic located?

Antelope Valley Community Clinic is located at 2151 E Palmdale Blvd, Palmdale, CA 93550. The listed phone number is (661) 575-0009.

What is Antelope Valley Community Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Antelope Valley Community Clinic was last updated on July 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.