Active NPI
Smart Choice Medical Group
- Health Service Clinic/Center
- Riverside, CA
National Provider Identifier
1851030019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100131983 | Medicaid | CA |
Other names 1
- Smart Choice Medical Group
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gardena, CA
- NPI 1417679465
-
- Family Nurse Practitioner
- Riverside, CA
- NPI 1366641821
-
- Physician Assistant
- Riverside, CA
- NPI 1437812260
-
- Licensed Vocational Nurse
- Murrieta, CA
- NPI 1598309296
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.