CHOICE MEDICAL CLINIC, INC. (NPI# 1114014289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014289 |
| Entity Type | Organization |
| Organization Name | CHOICE MEDICAL CLINIC, INC. |
| Other Organization Name | CHOICE MEDICAL GROUP |
| Practice Address |
2322 Butano Dr Suite 205 Sacramento CA 95825-0629 |
| Mailing Address |
1834 Stone Ave Suite 2b San Jose CA 95125-1306 |
| Practice Telephone | 9164832885 |
| Practice Fax Number | 9164834036 |
| Mailing Telephone | 4089950102 |
| Mailing Fax Number | 4089950190 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LIZA TAPIA VAUGHAN (GENERAL MANAGER) |
| Authorized Official Telephone | 4089950102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
GR0006546 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0006546 | 05 |
| Other Name | Type Code |
|---|---|
| CHOICE MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174711915 | Choice Medical Clinic, Inc. | Specialist | 1834 Stone Ave, Suite 2b, San Jose, CA 95125-1306 | 2007-10-05 |
| 1366526659 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 | 2006-10-24 |
| 1275617565 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 2107 Ofarrell St, San Francisco, CA 94115-3419 | 2006-10-24 |
| 1982788279 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 2485 High School Ave, Suite 227, Concord, CA 94520-1819 | 2006-10-24 |
| 1790869089 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 945 Blanco Cir Ste B, Salinas, CA 93901-4421 | 2006-10-24 |
| 1609950997 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 2365 Montpelier Dr, San Jose, CA 95116-1614 | 2006-10-24 |
| 1942384235 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 1895 Mowry Ave, Suite 116, Fremont, CA 94538-1737 | 2006-10-24 |
| Street Address |
2322 BUTANO DR SUITE 205 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-0629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942634 | Tobin C Gallawa | Podiatrist | 2322 Butano Dr, Suite 110, Sacramento, CA 95825-0687 | 2005-06-14 |
| 1629418512 | Family Planning Associates Medical Group,inc. | Clinic/Center | 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 | 2013-06-25 |
| 1972840296 | Brandon J Webb | Dentist | 2322 Butano Dr, Suite 212a, Sacramento, CA 95825-0629 | 2013-01-07 |
| 1720218472 | Martin Michael Varrial | Psychologist | 2322 Butano Dr, Suite 211, Sacramento, CA 95825-0629 | 2009-07-15 |
| 1487819777 | Jessica Haskins | Psychologist | 2322 Butano Dr, Suite 109, Sacramento, CA 95825-0629 | 2008-07-25 |
| 1215015698 | Glenn Alan Middleton | Dentist | 2322 Butano Dr, 212, Sacramento, CA 95825-0629 | 2006-11-01 |
| 1366526659 | Choice Medical Clinic, Inc. | Clinical Medical Laboratory | 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 | 2006-10-24 |
| 1639253826 | Michael Sussman | Obstetrics & Gynecology | 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 | 2006-10-24 |
| 1760483085 | Randall J Sarte | Podiatrist | 2322 Butano Dr, Suite 201, Sacramento, CA 95825-0687 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326330416 | Arthur Merrill Mccausland | Obstetrics & Gynecology | 571 Mills Rd, Sacramento, CA 95864-4911 | 2011-05-06 |
| 1861514085 | William Darrell Kuntz | Obstetrics & Gynecology | 4336 Poseidon Ln, Sacramento, CA 95841-4155 | 2007-04-06 |
| 1467567834 | Ira Thomas Joyner Jr. | Obstetrics & Gynecology | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2006-08-19 |
| 1356703565 | Louise Lowe Chiu | Obstetrics & Gynecology | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2016-03-26 |
| 1467608406 | Sima Suresh Parmar | Obstetrics & Gynecology | 4860 Y St, Suite 2500, Sacramento, CA 95817-2307 | 2008-08-11 |
| 1730348616 | Erwin A. Eichhorn, M.d., Inc. | Obstetrics & Gynecology | 2277 Fair Oaks Blvd, Suite 355, Sacramento, CA 95825-5533 | 2008-06-05 |
| 1174601801 | Jennifer Y. Lee | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1023022696 | Russell E. Niles | Obstetrics & Gynecology | 3000 Q St, Sacramento, CA 95816-7058 | 2006-07-28 |
| 1639168594 | Regents of The Univ of Ca | Obstetrics & Gynecology | 4860 Y St, Sacramento, CA 95817-2307 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.