BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
NPI 1700672011
Pharmacy - Community/Retail Pharmacy in Lancaster, CA

Active since April 15, 2025CLIA 05D2043635 · Waiver
43322 GINGHAM AVE, LANCASTER, CA 93535(661) 874-4232(888) 905-5334 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2025, Oct 10, 2025, Jun 25, 2025 (3 updates tracked since 2025).

About Bartz-altadonna Community Health Center NPPES

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

BARTZ-ALTADONNA COMMUNITY HEALTH CENTER (NPI 1700672011) is a healthcare organization registered as a community/retail pharmacy in Lancaster, California and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through July 5, 2028 and lists Mary Antoinette Cummings, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700672011
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBARTZ-ALTADONNA COMMUNITY HEALTH CENTER
Location Address43322 GINGHAM AVELancaster, CA 93535-4576
Mailing Address43322 Gingham AveLancaster, CA 93535-4576 · (661) 874-4050 · Fax (888) 905-5334
Fax(888) 905-5334
Organization SubpartYes
Authorized OfficialMary Antoinette CummingsCeo · (661) 466-3895
Enumeration DateApril 15, 2025
Last NPPES UpdateNovember 20, 20253 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1700672011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
43322 GINGHAM AVE, Lancaster, CA 93535

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bartz-altadonna Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bartz-Altadonna Community Health Center, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1154287035
821 MATEO ST UNIT 1
Chula Vista, CA 91911
(619) 977-0212
✔ PECOS156 mi
Internal Medicine
NPI 1902546963
5666 E STATE ST
Rockford, IL 61108
(815) 519-6087
✔ PECOS✔ Accepts Medicare1,654 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2043635

Bartz-Altadonna Community Health Center · Lancaster, CA
Active · expires Jul 5, 2028
CLIA Number05D2043635
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 6, 2026
Certificate Expiration DateJuly 5, 2028
Laboratory DirectorCarl E. Hayes
Laboratory Phone(661) 874-4050
Laboratory LocationBartz-Altadonna Community Health Center43322 Gingham Ave, Lancaster, CA 93535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bartz-Altadonna Community Health Center's NPI number?

The NPI number for Bartz-Altadonna Community Health Center is 1700672011. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Bartz-Altadonna Community Health Center located?

Bartz-Altadonna Community Health Center is located at 43322 Gingham Ave, Lancaster, CA 93535. The listed phone number is (661) 874-4232.

What is Bartz-Altadonna Community Health Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Bartz-Altadonna Community Health Center enrolled in Medicare?

Yes. Bartz-Altadonna Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bartz-Altadonna Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bartz-Altadonna Community Health Center, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bartz-Altadonna Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2043635) is associated with this NPI, valid through July 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bartz-Altadonna Community Health Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 24 other insurers list Bartz-Altadonna Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bartz-Altadonna Community Health Center was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.