Healthcare Provider Details

I. General information

NPI: 1770180382
Provider Name (Legal Business Name): ANTELOPE VALLEY INPATIENT PEDIATRIC ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W AVENUE J
LANCASTER CA
93534-2814
US

IV. Provider business mailing address

1748 COUNTRY OAKS LN
THOUSAND OAKS CA
91362-1900
US

V. Phone/Fax

Practice location:
  • Phone: 201-956-5124
  • Fax:
Mailing address:
  • Phone: 201-956-5124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SURAJ RAJESH BATISH
Title or Position: CEO
Credential: MD
Phone: 201-956-5124