OrganizationActive
Antelope Valley Community Clinic
NPI 1346563673 · Federally Qualified Health Center (FQHC) · Palmdale, CA
Provider details
- NPI number
- 1346563673
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Antelope Valley Community Clinic
- Organization subpart
- Yes
- Authorized official
- James Cook, Ceo(661) 942-2391
- License
- 550001129 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2151 E Palmdale Blvd
Palmdale, CA 93550-4037
Phone: (661) 575-0009
Fax: (661) 575-0015
Street-level locationGet directions
Mailing address
45074 10th Street West
Lancaster, CA 93534-2382
Other names (DBA / former)
- Doing business as
- Antelope Valley Community Clinic-Palmdale
Registry dates
- Enumerated
- 2010-03-01
- Last updated
- 2011-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.