Active NPI
Choice Health Network
- Family Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHOICE HEALTH NETWORK
- Practice address
- 408 S Beach Blvd Ste 111
Anaheim, CA 92804-1866 - Phone
- (714) 826-8800
- NPI assigned
- Oct 5, 2021
- Last updated
- Sep 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Ebilane
- Title
- Ceo
- Phone
- (714) 826-8800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
408 S Beach Blvd Ste 111
Anaheim, CA 92804-1866
Mailing address
408 S Beach Blvd Ste 111
Anaheim, CA 92804-1866
Phone (714) 826-8800
Other practice location 1
2015 W 1st St Ste K
Santa Ana, CA 92703-3516
Phone (714) 716-1830
Other practice location 2
722 Alamitos Ave
Long Beach, CA 90813-4726
Phone (562) 513-1367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2286391 | Choice Health Network | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
4363 Phelan Rd
Phelan, CA 92371
Phone (800) 676-9870
2015 W 1st St
Ste L
Santa Ana, CA 92703
Phone (714) 716-1830
357 Van Ness Way
Ste 140
Torrance, CA 90501
Interoperability endpoints
- https://api.platform.athenahealth.com/25734/brand/1/csg/21/fhir/r4
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1851553804
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1225569866
-
- Clinical Social Worker
- Long Beach, CA
- NPI 1689122921
-
- Clinical Social Worker
- Long Beach, CA
- NPI 1669596995
-
- Nurse Practitioner
- Buena Park, CA
- NPI 1225462401
-
- Pediatric Nurse Practitioner
- Anaheim, CA
- NPI 1407516859
-
- Family Nurse Practitioner
- Huntington Beach, CA
- NPI 1114359429
-
- Pediatric Nurse Practitioner
- Anaheim, CA
- NPI 1164049904
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1699215400
-
- Pediatrics Physician
- Anaheim, CA
- NPI 1760593610
-
- Physician Assistant
- Brea, CA
- NPI 1104231489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1952073157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD STE 111",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041866",
"telephone_number": "714-826-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S BEACH BLVD STE 111",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928041866",
"telephone_number": "714-826-8800"
}
],
"practiceLocations": [
{
"address_1": "2015 W 1st St Ste K",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927033516",
"country_code": "US",
"telephone_number": "714-716-1830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "722 Alamitos Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908134726",
"country_code": "US",
"telephone_number": "562-513-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHOICE HEALTH NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-05",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "EBILANE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-826-8800"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.