CHOICE MEDICAL CLINIC, INC.


Address: 1895 Mowry Ave, Suite 116, Fremont, CA 94538-1737
Phone: 5107923398

CHOICE MEDICAL CLINIC, INC. (NPI# 1942384235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942384235
Entity Type Organization
Organization Name CHOICE MEDICAL CLINIC, INC.
Other Organization Name CHOICE MEDICAL GROUP
Practice Address 1895 Mowry Ave
Suite 116
Fremont
CA 94538-1737
Mailing Address 1834 Stone Ave
Suite 2b
San Jose
CA 95125-1306
Practice Telephone 5107923398
Practice Fax Number 5107923951
Mailing Telephone 4089950102
Mailing Fax Number 4089950190
Enumeration Date 2006-10-24
Last Update Date 2020-08-22
Authorized Official Name LIZA TAPIA VAUGHAN (GENERAL MANAGER)
Authorized Official Telephone 4089950101
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory CA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA LAB98720F 05

Other Provider/Organization Names

Other Name Type Code
Choice Medical Group Doing Business As Name - Organization

Other Provider IDs and Locations

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
1114014289 Choice Medical Clinic, Inc. Obstetrics & Gynecology 2322 Butano Dr, Suite 205, Sacramento, CA 95825-0629 2006-10-09

Office Location

Street Address 1895 MOWRY AVE
SUITE 116
City FREMONT
State CA
Zip Code 94538-1737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811997646 Fang Tan Ophthalmology 1895 Mowry Ave, Suite 101, Fremont, CA 94538-1737 2005-07-22
1376096578 Dipali Patel Physical Therapist 1895 Mowry Ave, Suite 115, Fremont, CA 94538-1737 2016-07-25
1225403199 Ankita Agarwal Dentist 1895 Mowry Ave, Suite 103, Fremont, CA 94538-1737 2015-12-03
1952701690 Darshana Patel Physical Therapist 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 2014-08-31
1538413182 Kinjal Solani Physical Therapist 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 2012-11-05
1720335698 Jonathan Duk Gen Chang Dentist 1895 Mowry Ave, Ste 121, Fremont, CA 94538-1737 2012-08-10
1003194234 Jamie Wong Optometrist 1895 Mowry Ave, Ste 117, Fremont, CA 94538-1736 2011-07-21
1013214162 Shweta Prakash Sadalge Physical Therapist 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 2011-02-24
1528363447 Yvonne Yiwen Chen Dmd Apc Dentist 1895 Mowry Ave, Suite #102, Fremont, CA 94538-1737 2011-01-25
1922324839 In Focus Physical Therapy Inc Physical Therapist 1895 Mowry Ave, Suite #118a, Fremont, CA 94538-1737 2010-04-16
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1699394460 Bay Area Kidney Care Medical Group Inc. Clinic/Center 39370 Mozart Terrace Unit 106, Fremont, CA 94538 2020-04-13
1740847284 Gloria Ann Federico Behavior Technician 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2019-05-21
1093270688 Timothy Lorne Haynes Chiropractor 3775 Beacon Ave., Suite 200, Fremont, CA 94538 2019-02-07
1902370067 Nicole Sandoval Counselor 39155 Liberty St Suite E500, Fremont, CA 94538 2019-01-11
1497225015 Megan Galban Behavior Technician 39210 State St. Suite 220, Fremont, CA 94538 2018-11-27
1780154302 Karla Patricia Plascencia Behavior Technician 39210 State Street Suite 220, Fremont, CA 94538 2018-11-27
1215407846 Sydney J Torrens Behavior Technician 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 2018-11-27
1932676277 Jarah Harvan Psychologist 1999 Mowry Ave Ste F, Fremont, CA 94538 2018-10-24
1205321965 Chien Shien Yang Md Inc Psychiatry & Neurology 1860 Mowry Ave Ste 301a, Fremont, CA 94538 2018-06-26
1912416199 Advanced Interventional Surgical Center Clinic/Center 3077 Stevenson Blvd, Fremont, CA 94538 2017-09-20
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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Competitor

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City FREMONT
Zip Code 94538

Improve Information

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Dataset Information

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.

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