Organization Active NPI

Choice Healthcare Associates, Inc.

  • Exclusive Provider Organization
  • Apple Valley, CA
National Provider Identifier
1194964361
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CHOICE HEALTHCARE ASSOCIATES, INC.
Practice address
18564 US Highway 18 # 103104
Apple Valley, CA 92307-2312
Phone
(760) 242-9262
Fax
(760) 242-9264
NPI assigned
Feb 11, 2009
Last updated
Nov 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Manmohan Nayyar, MDNPI 1124086855
Title
President
Phone
(760) 242-7777

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
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

18564 US Highway 18 # 103104
Apple Valley, CA 92307-2312

Mailing address

19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone (760) 242-7777

Other practice location 1

13010 Hesperia Rd Ste 300
Victorville, CA 92395-8315
Phone (760) 843-7873

Other practice location 2

13010 Hesperia Rd Ste 501
Victorville, CA 92395-8315
Phone (760) 881-3717

Other practice location 3

13010 Hesperia Rd Ste 400
Victorville, CA 92395-8315
Phone (760) 242-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110517000271 CA Part B Supplier - Clinic/Group Practice 3678759206 Receives reassigned benefits from 41 practitioners
Practice locations: Apple Valley, CA; Barstow, CA; Victorville, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2160370Choice Healthcare Associates13010 Hesperia Rd Suite 400, Victorville, CA 92395Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

18564 US Highway 18
#103104
Apple Valley, CA 92307
Phone (760) 242-9262

18564 US Highway 18
Ste 108
Apple Valley, CA 92307

1890 W Main St
Barstow, CA 92311
Phone (760) 256-1422

12490 Business Center Dr
Ste 400
Victorville, CA 92395

13010 Hesperia Rd
Ste 400
Victorville, CA 92395
Phone (760) 242-5111

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1194964361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-242-7777",
            "fax_number": "888-847-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18564 US HIGHWAY 18 # 103104",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072312",
            "telephone_number": "760-242-9262",
            "fax_number": "760-242-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 Hesperia Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-843-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13010 Hesperia Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-881-3717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13010 Hesperia Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-242-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOICE HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "NAYYAR",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.