Organization Active NPI

Family Choice Medical Group

  • Health Maintenance Organization
  • Westminster, CA
National Provider Identifier
1619049798
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FAMILY CHOICE MEDICAL GROUP
Practice address
7631 Wyoming St Ste 201
Westminster, CA 92683-3904
Phone
(714) 898-0765
Fax
(714) 898-0610
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Tahlia Dang
Title
Ipa Coordinator
Phone
(714) 898-0765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

7631 Wyoming St Ste 201
Westminster, CA 92683-3904

Mailing address

7631 Wyoming St Ste 201
Westminster, CA 92683-3904
Phone (714) 898-0765

National Provider Directory

National Provider Directory

Locations

9275 Sky Park Ct
Ste 400
San Diego, CA 92123
Phone (858) 467-7640

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)…

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1619049798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 WYOMING ST STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833904",
            "telephone_number": "714-898-0765",
            "fax_number": "714-898-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 WYOMING ST STE 201",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833904",
            "telephone_number": "714-898-0765",
            "fax_number": "714-898-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "TAHLIA",
        "authorized_official_title_or_position": "IPA COORDINATOR",
        "authorized_official_telephone_number": "714-898-0765"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.