Southern California Primary Medical Inc - Medicare Primary Care in Apple Valley, CA

Southern California Primary Medical Inc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Apple Valley, California. The current practice location for Southern California Primary Medical Inc is 19341 Bear Valley Rd Ste 101, Apple Valley, California. For appointments, you can reach them via phone at (760) 810-7778. The mailing address for Southern California Primary Medical Inc is 8237 Rochester Ave Ste 110, Rancho Cucamonga, California and phone number is (909) 477-3310.

Southern California Primary Medical Inc is licensed to practice in California (license number A91216). The clinic also participates in the medicare program and its NPI number is 1043508559. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (760) 810-7778.

Contact Information

Southern California Primary Medical Inc
19341 Bear Valley Rd Ste 101
Apple Valley
CA 92308
(760) 810-7778
(760) 810-7780

Primary Care Clinic Profile

Full NameSouthern California Primary Medical Inc
SpecialityFamily Medicine
Location19341 Bear Valley Rd Ste 101, Apple Valley, California
Authorized Official Name and PositionAshish Malhotra (OWNER)
Authorized Official Contact7608107778
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern California Primary Medical Inc
8237 Rochester Ave Ste 110
Rancho Cucamonga
CA 91730-0717

Ph: (909) 477-3310
Southern California Primary Medical Inc
19341 Bear Valley Rd Ste 101
Apple Valley
CA 92308

Ph: (760) 810-7778

NPI Details:

NPI Number1043508559
Provider Enumeration Date07/18/2011
Last Update Date08/06/2018

Medicare PECOS Information:

Medicare PECOS PAC ID4688843220
Medicare Enrollment IDO20110816000412

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Medical Identifiers

Medical identifiers for Southern California Primary Medical Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043508559NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine A91216 (California)Primary
261QP2300XClinic/center - Primary Care A91216 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern California Primary Medical Inc acts as a billing entity for following providers:
Provider NameAshish Malhotra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679583744
PECOS PAC ID: 4880655083
Enrollment ID: I20070726000253

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