Organization Active NPI

Choice Care, Inc.

  • Physical Therapy Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1871504704
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT23646 Issued in CA
Legal business name
CHOICE CARE, INC.
Practice address
12495 Valley View St
Garden Grove, CA 92845-2032
Phone
(714) 901-7800
Fax
(714) 901-2300
NPI assigned
Aug 9, 2006
Last updated
Sep 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Authorized official

Name
Dr. Daniel Buda, DO, DSC, PTNPI 1700974698
Title
President Ceo
Phone
(714) 901-7800

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
Physical Therapy Clinic/Center 261QP2000X PT23646 CA Primary

Addresses

Primary practice location

12495 Valley View St
Garden Grove, CA 92845-2032

Mailing address

12495 Valley View St
Garden Grove, CA 92845-2032
Phone (714) 901-7800

Other identifiers 6

IdentifierTypeStateIssuer
104798900OtherCAACS
ZZZ07454ZOtherCABLUE SHIELD
2147108OtherCAFIRST HEALTH
UN2CU3OtherCACIGNA
135791OtherCABLUE CROSS
PT0236460MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.choicecaredoctors.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210001165 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4981500873 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

12558 Valley View St
Garden Grove, CA 92845
Phone (714) 901-7800

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569628800000",
    "number": "1871504704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452032",
            "telephone_number": "714-901-7800",
            "fax_number": "714-901-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12495 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452032",
            "telephone_number": "714-901-7800",
            "fax_number": "714-901-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-09-28",
        "status": "A",
        "authorized_official_last_name": "BUDA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "714-901-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, DSC, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT23646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "104798900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ07454Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2147108",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "UN2CU3",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "135791",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0236460",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.choicecaredoctors.com",
            "affiliation": "N",
            "address_1": "12495 Valley View St",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928452032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.