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CAL CHOICE FAMILY PRACTICE INC
NPI 1164448593
Clinic/Center in Victorville, CA

Active since July 15, 2006CLIA 05D1046843 · Waiver
16245 DESERT KNOLL DR, VICTORVILLE, CA 92395(760) 955-9555(760) 955-8558 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, May 14, 2024, Apr 1, 2024 (3 updates tracked since 2024).

About Cal Choice Family Practice Inc NPPES

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

CAL CHOICE FAMILY PRACTICE INC (NPI 1164448593) is a healthcare organization registered as a clinic/center in Victorville, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 15, 2028, maintains a secondary practice location in Adelanto, and lists Melissa Graham, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1164448593
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCAL CHOICE FAMILY PRACTICE INC
Location Address16245 DESERT KNOLL DRVictorville, CA 92395-4011
Mailing AddressPo Box 1596Victorville, CA 92393-1596 · (760) 955-9555 · Fax (760) 955-8558
Phone(760) 955-9555
Fax(760) 955-8558
Organization SubpartNo
Authorized OfficialMelissa GrahamBilling Manager · (760) 955-9555
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1164448593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A87666
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
16245 DESERT KNOLL DR, Victorville, CA 92395
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Secondary Practice Location 1

Location 111497 Bartlett Ave Ste B1Adelanto, CA 92301-1901 · Phone (760) 955-9555

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cal Choice Family Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cal Choice Family Practice Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Yvonne Telgt-Mckinney, M.D.
Family Practice
NPI 1689607053
16519 VICTOR ST SUITE 307
Victorville, CA 92395
(760) 955-9555
✔ PECOS0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D1046843

Cal Choice Family Practice, Inc · Victorville, CA
Active · expires Oct 15, 2028
CLIA Number05D1046843
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2026
Certificate Expiration DateOctober 15, 2028
Laboratory DirectorYvonne Telgt-Mckinney
Laboratory Phone(760) 955-9555
Laboratory LocationCal Choice Family Practice, Inc16245 Desert Knoll Dr, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name 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 Cal Choice Family Practice Inc's NPI number?

The NPI number for Cal Choice Family Practice Inc is 1164448593. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Cal Choice Family Practice Inc located?

Cal Choice Family Practice Inc is located at 16245 Desert Knoll Dr, Victorville, CA 92395. The listed phone number is (760) 955-9555.

What is Cal Choice Family Practice Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Cal Choice Family Practice Inc enrolled in Medicare?

Yes. Cal Choice Family Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cal Choice Family Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cal Choice Family Practice Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cal Choice Family Practice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1046843) is associated with this NPI, valid through October 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cal Choice Family Practice Inc was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.