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Antelope Valley Urology Medical Group Inc

Specialist in Lancaster, CA · enumerated 2007 · authorized official Tawfik Hadaya, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396888152

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Registry record

Entity type Organization (Type 2)
Legal business name Antelope Valley Urology Medical Group Inc
Practice address 44105 15th St W, Suite 302, Lancaster, CA, 93534
Phone (661) 949-3006
Fax (661) 949-8770
Enumeration date Feb 14, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License A39485 (CA) Primary
174400000X Specialist Other Service Providers · License C39635 (CA) Secondary

Authorized official

Name Tawfik Hadaya
Title President
Phone (661) 949-3006

Other identifiers

Identifier Type State Issuer
GR0076830 Medicaid CA -
ZZZ53170Z Other CA BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Antelope Valley Urology Medical Group Inc located?
The practice location on file with NPPES is in Lancaster, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.