Southern California Primary Medical Inc
NPI 1043508559 · Geriatric Medicine (Family Medicine) Physician · Apple Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern California Primary Medical Inc is a Geriatric Medicine (Family Medicine) Physician organization in Apple Valley, CA (NPI 1043508559).
Provider details
- NPI number
- 1043508559
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashish Malhotra, Owner(760) 810-7778
- License
- A91216 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8237 Rochester Ave Ste 110Rancho Cucamonga, CA 91730-0717Phone: (909) 477-3310Fax: (909) 477-3320
Registry dates
- Enumerated
- 2011-07-18
- Last updated
- 2018-08-06
Frequently asked questions
- What is Southern California Primary Medical Inc's NPI number?
- Southern California Primary Medical Inc's National Provider Identifier (NPI) is 1043508559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern California Primary Medical Inc?
- Southern California Primary Medical Inc is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Southern California Primary Medical Inc located?
- Southern California Primary Medical Inc's practice location on file with NPPES is 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308.
- What is Southern California Primary Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern California Primary Medical Inc is (760) 810-7778.
- Does Southern California Primary Medical Inc accept Medicare?
- Southern California Primary Medical Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern California Primary Medical Inc?
- The authorized official listed on Southern California Primary Medical Inc's NPPES record is Ashish Malhotra, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern California Primary Medical Inc's NPI active?
- Yes — Southern California Primary Medical Inc's NPI (1043508559) is active in the NPPES registry as of the last update on 2018-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.