SENIOR'S CHOICE MEDICAL GROUP, INC.
NPI 1023506672
Family Medicine in Fontana, CA

Active since April 30, 2018CLIA 05D2191937 · Waiver
8990 SIERRA AVENUE, SUITE J&K, FONTANA, CA 92335(909) 421-4886 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2020, Apr 30, 2018 (2 updates tracked since 2018).

About Senior's Choice Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SENIOR'S CHOICE MEDICAL GROUP, INC. (NPI 1023506672) is a healthcare organization registered as a family medicine in Fontana, California and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists Guillermo J. Valenzuela, President, as its authorized official.

NPPES Registry Identity

NPI1023506672
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSENIOR'S CHOICE MEDICAL GROUP, INC.
Location Address8990 SIERRA AVENUE, SUITE J&KFontana, CA 92335-4772
Mailing AddressPo Box 1762Colton, CA 92324-0857 · (909) 580-6332 · Fax (909) 580-3289
Organization SubpartNo
Authorized OfficialGuillermo J. ValenzuelaPresident · (909) 580-6333
Enumeration DateApril 30, 2018
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
NPI 1023506672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
8990 SIERRA AVENUE, Fontana, CA 92335

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2191937

Seniors Choice Medical Group Inc · Fontana, CA
Active · expires Sep 1, 2026
CLIA Number05D2191937
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorJuan M. Acosta
Laboratory Phone(909) 421-4886
Laboratory LocationSeniors Choice Medical Group Inc8990 Sierra Avenue Suite J, Fontana, CA 92335
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Senior's Choice Medical Group, Inc.'s NPI number?

The NPI number for Senior's Choice Medical Group, Inc. is 1023506672. It was assigned to this organization in the NPPES registry on April 30, 2018.

Where is Senior's Choice Medical Group, Inc. located?

Senior's Choice Medical Group, Inc. is located at 8990 Sierra Avenue Suite J&k, Fontana, CA 92335. The listed phone number is (909) 421-4886.

What is Senior's Choice Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Senior's Choice Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2191937) is associated with this NPI, valid through September 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Senior's Choice Medical Group, Inc. was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.