SOUTHERN CALIFORNIA PRIMARY MEDICAL INC – NPI #1043508559
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

SOUTHERN CALIFORNIA PRIMARY MEDICAL INC is a provider located in APPLE VALLEY, CA. NPPES has assigned the NPI number 1043508559 to SOUTHERN CALIFORNIA PRIMARY MEDICAL INC on July 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 8 years ago on Aug 06, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN CALIFORNIA PRIMARY MEDICAL INC below.

NPI Profile for
SOUTHERN CALIFORNIA PRIMARY MEDICAL INC

NPI Number
1043508559
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
Primary location
19341 BEAR VALLEY RD STE 101
APPLE VALLEY, CA 92308
Phone: (760) 810-7778 Fax: (760) 810-7780
1 Other location(s):
8237 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730-0717
Phone: (909) 477-3310
Fax: (909) 477-3320
Mailing address
8237 ROCHESTER AVE STE 110
RANCHO CUCAMONGA, CA 91730-0717
Phone: (909) 477-3310 Fax: (909) 477-3320
Organization Subpart
No
Authorized Official
ASHISH MALHOTRA
OWNER
Phone: (760) 810-7778
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)		 CA A91216
261QP2300X
- Clinic/Center / Primary Care		 CA A91216

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.