Organization Active NPI

Choice Health Medical Group, Inc.

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1629785910
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHOICE HEALTH MEDICAL GROUP, INC.
Practice address
408 S Beach Blvd Ste 103
Anaheim, CA 92804-1871
Phone
(714) 826-8800
Fax
(833) 593-2722
NPI assigned
Nov 4, 2022
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Miguel Gutierrez
Title
Ceo
Phone
(310) 951-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 103
Anaheim, CA 92804-1871

Mailing address

408 S Beach Blvd Ste 103
Anaheim, CA 92804-1871
Phone (714) 826-8800

National Provider Directory

National Provider Directory

Locations

408 S Beach Blvd
Ste 103
Anaheim, CA 92804
Phone (714) 826-8800

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1629785910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041871",
            "telephone_number": "714-826-8800",
            "fax_number": "833-593-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041871",
            "telephone_number": "714-826-8800",
            "fax_number": "833-593-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-951-0908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.