GARRISON FAMILY MEDICAL GROUP NPI 1316121247

NPI Information

NPI: 1316121247
Provider Name: GARRISON FAMILY MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
41210 11TH ST W
SUITE C
PALMDALE, CA
ZIP 93551
Phone: (661) 947-7100
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GARRISON FAMILY MEDICAL GROUP is a family medicine in Palmdale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GARRISON FAMILY MEDICAL GROUP NPI is 1316121247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

41210 11TH ST W
SUITE C
PALMDALE, CA
ZIP 93551-447
Phone: (661) 947-7100
Fax: (661) 947-7670

The provider's authorized official is Antonette Abatti .
The authorized official title is Administrator and has the following contact phone number (661) 947-7100.

The enumeration date for this NPI number is 12/27/2007 and was last updated on 12/27/2007.

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
1	132700000X	Dietary Manager		G50780	CALIFORNIA	No
2	204C00000X	Neuromusculoskeletal Medicine, Sports Medicine		G50780	CALIFORNIA	No
3	207K00000X	Allergy & Immunology		G50780	CALIFORNIA	No
4	207N00000X	Dermatology		G50780	CALIFORNIA	No
5	207NI0002X	Dermatology	Clinical & Laboratory Dermatological Immunology	G50780	CALIFORNIA	No
6	207QA0000X	Family Medicine	Adolescent Medicine	G50780	CALIFORNIA	No
7	207QA0401X	Family Medicine	Addiction Medicine	G50780	CALIFORNIA	No
8	207QA0505X	Family Medicine	Adult Medicine	G50780	CALIFORNIA	No
9	207QG0300X	Family Medicine	Geriatric Medicine	G50780	CALIFORNIA	No
10	207QS0010X	Family Medicine	Sports Medicine	G50780	CALIFORNIA	No
11	207R00000X	Internal Medicine		G50780	CALIFORNIA	No
12	207V00000X	Obstetrics & Gynecology		G50780	CALIFORNIA	No
13	208000000X	Pediatrics		G50780	CALIFORNIA	No
14	208100000X	Physical Medicine & Rehabilitation		G50780	CALIFORNIA	No
15	207Q00000X	Family Medicine		G50780	CALIFORNIA	Yes

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
1	00G507800	MEDICAID	CALIFORNIA
2	G50780	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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