CAL CHOICE FAMILY PRACTICE INC (NPI# 1164448593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164448593 |
| Entity Type | Organization |
| Organization Name | CAL CHOICE FAMILY PRACTICE INC |
| Practice Address |
16519 Victor St Suite 307 Victorville CA 92395-3922 |
| Practice Telephone | 7609559555 |
| Practice Fax Number | 7609558558 |
| Mailing Telephone | 7609559555 |
| Mailing Fax Number | 7609558558 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | DR. YVONNE MCKINNEY (ADMINISTRATOR) |
| Authorized Official Telephone | 7609555555 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A87666 | CA | Ambulatory Health Care Facilities |
| Street Address |
16519 VICTOR ST SUITE 307 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689607053 | Yvonne R Telgt-mckinney | Specialist | 16519 Victor St, Suite 307, Victorville, CA 92395-3965 | 2006-07-09 |
| 1710369046 | Cinaih Munguia | Nurse Practitioner | 16519 Victor St, Ste. 307, Victorville, CA 92395-3965 | 2015-06-23 |
| 1114353141 | Agahospice Inc. | Hospice Care, Community Based | 16519 Victor St, Ste 324 B, Victorville, CA 92395-3965 | 2013-09-23 |
| 1386914729 | Christina Castillo | Nurse Practitioner | 16519 Victor St, Suite 307, Victorville, CA 92395-3965 | 2012-01-03 |
| 1588843874 | Shalechia A Hunt | Physician Assistant | 16519 Victor St, Suite 307, Victorville, CA 92395-3965 | 2007-11-02 |
| 1588797229 | James Francis Shirey | Marriage & Family Therapist | 16519 Victor St, Suite 406, Victorville, CA 92395-3965 | 2007-03-13 |
| 1861572158 | Patricia Elvera Prickett | Marriage & Family Therapist | 16519 Victor St, Suite 406, Victorville, CA 92395-3965 | 2006-10-17 |
| 1871684456 | Randall Lewis Sinclair | Marriage & Family Therapist | 16519 Victor St, 406, Victorville, CA 92395-3965 | 2006-09-27 |
| 1184727364 | Allied Behavioral Health and Counseling Center | Social Worker | 16519 Victor St, Suite 406, Victorville, CA 92395-3965 | 2006-09-06 |
| 1346342896 | Tarron D Riley | Social Worker | 16519 Victor St, Suite 406, Victorville, CA 92395-3965 | 2006-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1225376809 | Planned Parenthood of Orange and San Bernardino Counties | Clinic/Center | 15403 Park Ave E, Victorville, CA 92392-2482 | 2013-01-16 |
| 1437404142 | William C Ta Mdspectrum Medical & Wellness Center | Clinic/Center | 15095 Amargosa Rd, Bldg 2, Ste 280, Victorville, CA 92394-1879 | 2012-07-18 |
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| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.