ANTELOPE VALLEY NEUROSCIENCE NPI 1114912979

NPI Information

  • NPI: 1114912979
  • Provider Name: ANTELOPE VALLEY NEUROSCIENCE
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 42135 10TH ST W
    SUITE 301
    LANCASTER, CA
    ZIP 93534
  • Phone: (661) 945-6931

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NPI Details

ANTELOPE VALLEY NEUROSCIENCE is a neurology psychiatry neurology in Lancaster, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ANTELOPE VALLEY NEUROSCIENCE NPI is 1114912979. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42135 10TH ST W
SUITE 301
LANCASTER, CA
ZIP 93534-095
Phone: (661) 945-6931
Fax: (661) 945-4592

The provider's authorized official is Abdallah S Farrukh .
The authorized official title is Partner and has the following contact phone number (661) 945-6931.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 10/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryNo
2363LF0000XNurse PractitionerFamilyNP20677CALIFORNIANo
32084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ83620ZMEDICAIDCALIFORNIA
2HW5872MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W5872MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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