Organization Active NPI

Healthy Choices Medical Clinic, Inc.

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1104924984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73075 Issued in CA
Legal business name
HEALTHY CHOICES MEDICAL CLINIC, INC.
Practice address
850 South Atlantic Blvd.
Suite 203
Monterey Park, CA 91754-4730
Phone
(626) 281-0125
Fax
(626) 281-1526
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Lloyd Mendoza, M.D.NPI 1902848864
Title
President
Phone
(626) 281-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A73075 CA Primary

Addresses

Primary practice location

850 South Atlantic Blvd.
Suite 203
Monterey Park, CA 91754-4730

Mailing address

850 South Atlantic Blvd.
Suite 203
Monterey Park, CA 91754-4730
Phone (626) 281-0125

Other names 1

  • Healthy Choices Family Medical Group, A.M.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

1230 S Boyle Ave
Los Angeles, CA 90023
Phone (323) 268-0497

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104924984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SOUTH ATLANTIC BLVD.",
            "address_2": "SUITE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-281-0125",
            "fax_number": "626-281-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SOUTH ATLANTIC BLVD.",
            "address_2": "SUITE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544730",
            "telephone_number": "626-281-0125",
            "fax_number": "626-281-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHOICES MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-281-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Choices Family Medical Group, A.M.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.