Antelope Valley Outpatient Imaging Center, LLC
NPI 1376143339ActiveOrganization· Radiology, Diagnostic Radiology· Lancaster, CA
Radiology, Diagnostic Radiology in Lancaster, California, registered in NPPES in October 2020. The authorized official on file is Edward Mirzabegian, Manager. Medicare paid $1,276 for services to 90 patients in 2024.
Overview
| NPI | 1376143339 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2020 |
| Last updated in NPPES | Oct 29, 2020 |
| Certified by provider | Oct 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 103 across 24 procedure codes |
| Paid by Medicare | $1,276 |
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