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ANTELOPE VALLEY COMMUNITY CLINIC-MOBILE HEALTH CLINIC II
NPI 1619290624
Clinic/Center - Federally Qualified Health Center (FQHC) in Lancaster, CA

Active since March 04, 2010
45104 10TH ST W, LANCASTER, CA 93534(661) 942-2391(661) 902-6839 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antelope Valley Community Clinic-mobile Health Clinic Ii NPPES

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

ANTELOPE VALLEY COMMUNITY CLINIC-MOBILE HEALTH CLINIC II (NPI 1619290624) is a healthcare organization registered as a federally qualified health center (fqhc) in Lancaster, California and active in the NPI registry since March 2010. The organization lists James A. Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619290624
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameANTELOPE VALLEY COMMUNITY CLINIC
Location Address45104 10TH ST WLancaster, CA 93534-2310
Mailing Address45074 10th Street West, Suite 109Lancaster, CA 93534-2382 · (661) 942-2391 · Fax (661) 902-6839
Phone(661) 942-2391
Fax(661) 902-6839
Organization SubpartYes
Authorized OfficialJames A. CookCeo · (661) 942-2391
Enumeration DateMarch 4, 2010
Last NPPES UpdateSeptember 12, 2013
✔ NPI 1619290624 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 · 550001131
45104 10TH ST W, Lancaster, CA 93534
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Other Names 1

Doing Business AsAntelope Valley Community Clinic-mobile Health Clinic Ii

Other Identifiers 2

OtherCT556AMedicare Ptan
Medicare OSCAR/certification551055CA

Other Providers at the Same Location NPPES 20

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

BASIL MUBARKEH
Optometrist
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 941-9543
PAOLA AZUCENA BAUTISTA CPHW
Counselor
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 948-1228
DR. QIYUAN DAI MD
Internal Medicine
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
TESSINY IRIARTE HOLLIDAY FNP-C
Family Medicine
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
ANTELOPE VALLEY PARTNERS FOR HEALTH
Case Management
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-4719
SUTTIRAK CHAIWONGKARJOHN
Specialist
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
ANA ALEJANDRA GUILLEN
Case Manager/Care Coordinator
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 942-2391
LAURA MARTINEZ
Obstetrics & Gynecology (Obstetrics)
45104 10TH ST W
LANCASTER, CA 93534
Los Angeles County (661) 941-9543

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 1619290624. It was assigned to this organization in the NPPES registry on March 4, 2010. The provider is doing business as Antelope Valley Community Clinic-Mobile Health Clinic II.

Where is Antelope Valley Community Clinic located?

Antelope Valley Community Clinic is located at 45104 10th St W, Lancaster, CA 93534. The listed phone number is (661) 942-2391.

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 September 12, 2013. 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.