# CORRECTIONAL HEALTH MANAGEMENT OF CALIFORNIA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Correctional Health Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891577920
- **Authorized official:** KELLY MARTIN (MANAGING DIRECTOR)
- **Authorized official phone:** (800) 842-1598

## Contact information

- **Practice address:** 473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
- **Practice address phone:** (626) 223-5071
- **Mailing address:** 473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
- **Mailing address phone:** (800) 842-1598
- **Mailing address fax:** (909) 884-0388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/13/2023
- **Last updated:** 04/02/2026