ANTELOPE VALLEY UROLOGY MEDICAL GROUP INC
NPI 1396888152
Specialist in Lancaster, CA

Active since February 14, 2007
44105 15TH ST W, SUITE 302, LANCASTER, CA 93534(661) 949-3006(661) 949-8770 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Antelope Valley Urology Medical Group Inc NPPES

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

ANTELOPE VALLEY UROLOGY MEDICAL GROUP INC (NPI 1396888152) is a healthcare organization registered as a specialist in Lancaster, California and active in the NPI registry since February 2007. The organization lists Tawfik Tim Hadaya, President, as its authorized official.

NPPES Registry Identity

NPI1396888152
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANTELOPE VALLEY UROLOGY MEDICAL GROUP INC
Location Address44105 15TH ST W, SUITE 302Lancaster, CA 93534-4088
Mailing Address44105 15th St W, Suite 302Lancaster, CA 93534-4088 · (661) 949-3006 · Fax (661) 949-8770
Fax(661) 949-8770
Organization SubpartNo
Authorized OfficialTawfik Tim HadayaPresident · (661) 949-3006
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1396888152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in CA · A39485 Licensed in CA · C39635
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.

44105 15TH ST W, Lancaster, CA 93534

Other Identifiers 2

MedicaidGR0076830CA
OtherZZZ53170ZCA · Blue Shield

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 6

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

Urology
44105 15TH ST W, #302, ANTELOPE VALLEY UROLOGY
LANCASTER, CA 93534
Orthopaedic Surgery
44105 15TH ST W, SUITE 201
LANCASTER, CA 93534
Urology
44105 15TH ST W, STE 302
LANCASTER, CA 93534
Internal Medicine (Pulmonary Disease)
44105 15TH ST W, 303
LANCASTER, CA 93534
Nurse Practitioner (Women's Health)
44105 15TH ST W, SUITE 301
LANCASTER, CA 93534
Clinic/Center (Family Planning, Non-Surgical)
44105 15TH ST W, SUITE 301
LANCASTER, CA 93534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396888152, enumerated as an "organization" on February 14, 2007.

The provider is located at 44105 15TH ST W SUITE 302 LANCASTER, CA 93534 and the phone number is (661) 949-3006.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.