Antelope Valley Impotence & Incontinence Medical Center, Inc
NPI 1043315120ActiveOrganization· Urology· Palmdale, CA
Urology in Palmdale, California, registered in NPPES in September 2006. The authorized official on file is Eugene Clement Rajaratnain, MD FACS, Ceo/Urologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043315120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jan 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | C042345 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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