Cal Choice Family Practice Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A87666 Issued in CA

Legal business name

CAL CHOICE FAMILY PRACTICE INC

Practice address

16245 Desert Knoll Dr
Victorville, CA 92395-4011

Phone

(760) 955-9555

Fax

(760) 955-8558

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Graham

Title

Billing Manager

Phone

(760) 955-9555

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 6

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

• Yvonne R Telgt-McKinney, M.D.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1689607053
  Medicare reassignment NPD
• Laura Mercado Halterman, DNP FNP-C

  • Family Nurse Practitioner
  • Victorville, CA
  • NPI 1174019228

  Family Medicine

  NPD
• Oluyombo Ojo Ojebiyi, PA-C

  • Surgical Physician Assistant
  • Victorville, CA
  • NPI 1972964401
  NPD
• Christina Castillo, NP

  • Nurse Practitioner
  • Victorville, CA
  • NPI 1386914729
  NPD (past)
• Shalechia A Hunt, PA

  • Physician Assistant
  • Victorville, CA
  • NPI 1588843874
  NPD (past)
• Cinaih Munguia, RN NP

  • Family Nurse Practitioner
  • Victorville, CA
  • NPI 1710369046
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1164448593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1596",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931596",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16245 DESERT KNOLL DR",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954011",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11497 Bartlett Ave Ste B1",
            "address_purpose": "LOCATION",
            "city": "Adelanto",
            "state": "CA",
            "postal_code": "923011901",
            "country_code": "US",
            "telephone_number": "760-955-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAL CHOICE FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "760-955-9555"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A87666",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Owen Cacialli, PH.D.
• Samara A Cadogan
• Tylisa Cagle
• Chad Cain
• Cajon Medical Group, PC
• Monserrat Calderon Ayala
• David S. Calhoun
• Marcelino S Calimlim Jr., M.D.
• Angela Allison Caliri-Saucedo
• Mark Callahan, LMFT

• Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.