ALTA MEDICAL GROUP OF CALIFORNIA – NPI #1508580523
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

ALTA MEDICAL GROUP OF CALIFORNIA is a provider located in RANCHO CUCAMONGA, CA. NPPES has assigned the NPI number 1508580523 to ALTA MEDICAL GROUP OF CALIFORNIA on October 03, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTA MEDICAL GROUP OF CALIFORNIA below.

NPI Profile for
ALTA MEDICAL GROUP OF CALIFORNIA

NPI Number
1508580523
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALTA MEDICAL GROUP OF CALIFORNIA
Primary location
9836 FOOTHILL BLVD STE 610
RANCHO CUCAMONGA, CA 91730-3660
Phone: (909) 236-0338 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETERSON GO
PRESIDENT
Phone: (909) 236-0338
Updated
Certification Date
Oct 03, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
2084B0040X
- Psychiatry & Neurology / Behavioral Neurology & Neuropsychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.