Organization Active NPI

Smart Choice Medical Group

  • Health Service Clinic/Center
  • Riverside, CA
National Provider Identifier
1851030019
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SMART CHOICE MEDICAL GROUP
Doing business as
Smart Choice Medical Group
Practice address
4200 Latham St Ste a
Riverside, CA 92501-1766
Phone
(909) 329-8288
Fax
(562) 309-8477
NPI assigned
Jun 3, 2022
Organization subpart
Yes
Parent organization
NEW BEGINNINGS REINTEGRATION AND CONTINUUM CARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Lashanda Jones
Title
Officer
Phone
(909) 329-8288

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X
Health Service Clinic/Center 261QH0100X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

4200 Latham St Ste a
Riverside, CA 92501-1766

Mailing address

12926 Riley CT
Rancho Cucamonga, CA 91739-8850
Phone (909) 329-8288

Other practice location 1

2112 E 4th St Ste 100
Santa Ana, CA 92705-3849
Phone (657) 218-4145

Other identifiers 1

IdentifierTypeStateIssuer
100131983MedicaidCA

Other names 1

  • Smart Choice Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
New Beginnings Reintegration and Continuum Care Services Inc

Locations

2112 E 4th St
Ste 100
Santa Ana, CA 92705
Phone (657) 218-4145

Practitioners & affiliated clinicians

Practitioners 4

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": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1851030019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12926 RILEY CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398850",
            "telephone_number": "909-329-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LATHAM ST STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011766",
            "telephone_number": "909-329-8288",
            "fax_number": "562-309-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 E 4th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053849",
            "country_code": "US",
            "telephone_number": "657-218-4145",
            "fax_number": "562-309-8477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMART CHOICE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW BEGINNINGS REINTEGRATION AND CONTINUUM CARE SERVICES INC",
        "enumeration_date": "2022-06-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "909-329-8288"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100131983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Choice Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smart Choice Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.