SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
NPI 1043508559
Family Medicine - Geriatric Medicine in Apple Valley, CA
NPI Status: Active since July 18, 2011
Contact Information
19341 BEAR VALLEY RD STE 101
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 810-7778
Fax: (760) 810-7780
- Organization
- Family Medicine
- Geriatric Medicine
- CLIA Number: 05D2030474
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-02-2027
About SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
This page provides the complete NPI Profile along with additional information for Southern California Primary Medical Inc, a primary care provider established in Apple Valley, California operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1043508559 assigned on July 2011. The practitioner's primary taxonomy code is 207QG0300X with license number A91216 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ashish Malhotra M.d. (Owner)
- NPI
- 1043508559
- Provider Name
- SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
- Entity Type
- Organization
- Location Address
- 19341 BEAR VALLEY RD STE 101 APPLE VALLEY, CA 92308
- Location Phone
- (760) 810-7778
- Location Fax
- (760) 810-7780
- Mailing Address
- 8237 ROCHESTER AVE STE 110 RANCHO CUCAMONGA, CA 91730
- Mailing Phone
- (909) 477-3310
- Mailing Fax
- (760) 810-7780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2011
- Last Update Date
- 08-06-2018
- Code Navigator
A primary care provider (PCP) like Southern California Primary Medical Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 8237 Rochester Ave Ste 110
Rancho Cucamonga, CA 91730
(909) 477-3310
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A91216
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | A91216 (CA) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2030474
- Facility Type
- Physician Office
- Certificate Effective Date
- April 03, 2025
- Certificate Expiration Date
- April 02, 2027
- Laboratory Director
- ASHISH MALHOTRA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern California Primary Medical Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHERN CALIFORNIA PRIMARY MEDICAL INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043508559, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043508559, enumerated as an "organization" on July 18, 2011.
The provider is located at 19341 BEAR VALLEY RD STE 101 APPLE VALLEY, CA 92308 and the phone number is (760) 810-7778.
Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.
