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SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
NPI 1043508559
Family Medicine - Geriatric Medicine in Apple Valley, CA

Active since July 18, 2011CLIA Certified · 2 labs
19341 BEAR VALLEY RD STE 101, APPLE VALLEY, CA 92308(760) 810-7778(760) 810-7780 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern California Primary Medical Inc NPPES

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

SOUTHERN CALIFORNIA PRIMARY MEDICAL INC (NPI 1043508559) is a healthcare organization registered as a geriatric medicine in Apple Valley, California and active in the NPI registry since July 2011. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Rancho Cucamonga, and lists Ashish Malhotra, Owner, as its authorized official.

NPPES Registry Identity

NPI1043508559
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSOUTHERN CALIFORNIA PRIMARY MEDICAL INC
Location Address19341 BEAR VALLEY RD STE 101Apple Valley, CA 92308
Mailing Address8237 Rochester Ave Ste 110Rancho Cucamonga, CA 91730-0717 · (909) 477-3310 · Fax (909) 477-3320
Phone(760) 810-7778
Fax(760) 810-7780
Organization SubpartNo
Authorized OfficialAshish MalhotraOwner · (760) 810-7778
Enumeration DateJuly 18, 2011
Last NPPES UpdateAugust 6, 2018
✔ NPI 1043508559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · A91216
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License A91216 (CA)
19341 BEAR VALLEY RD STE 101, Apple Valley, CA 92308
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Secondary Practice Location 1

Location 18237 Rochester Ave Ste 110Rancho Cucamonga, CA 91730-0717 · Phone (909) 477-3310 · Fax (909) 477-3320

CLIA Laboratory Certificates CMS CLIA 2

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 05D2030474

Southern California Primary Medical Inc · Apple Valley, CA
Active · expires Apr 2, 2027
CLIA Number05D2030474
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorAshish Malhotra MD
Laboratory Phone(760) 810-7778
Laboratory LocationSouthern California Primary Medical Inc19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2052175

Southern California Primary Medical, Inc · Rancho Cucamonga, CA
Active · expires Jan 6, 2027
CLIA Number05D2052175
Laboratory TypePhysician Office
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorAshish Malhotra
Laboratory Phone(909) 477-3310
Laboratory LocationSouthern California Primary Medical, Inc8237 Rochester Ave Ste 110, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISHAL VERMA PA-C
Physician Assistant (Medical)
19341 BEAR VALLEY RD STE 101
APPLE VALLEY, CA 92308
San Bernardino County (760) 810-7778

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 Southern California Primary Medical Inc's NPI number?

The NPI number for Southern California Primary Medical Inc is 1043508559. It was assigned to this organization in the NPPES registry on July 18, 2011.

Where is Southern California Primary Medical Inc located?

Southern California Primary Medical Inc is located at 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308. The listed phone number is (760) 810-7778.

What is Southern California Primary Medical Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Southern California Primary Medical Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southern California Primary Medical Inc was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.