COLTON VALLEY MEDICAL GROUP – NPI #1801991450
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

COLTON VALLEY MEDICAL GROUP is a provider located in COLTON, CA. NPPES has assigned the NPI number 1801991450 to COLTON VALLEY MEDICAL GROUP on September 14, 2006. 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.

The NPI profile was last updated on Sep 11, 2025. 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 COLTON VALLEY MEDICAL GROUP below.

NPI Profile for
COLTON VALLEY MEDICAL GROUP

NPI Number
1801991450
Enumeration Date

(more than 19 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
COLTON VALLEY MEDICAL GROUP
Primary location
502 W VALLEY BLVD
COLTON, CA 92324
Phone: (909) 825-3202 Fax: (909) 825-9375
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WAGIAN SUN
PRESIDENT
Phone: (909) 825-3202
Updated
Identifiers

Identifiers for COLTON VALLEY MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAGR0041960
medicaidCA00A237440
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)		 CA A23744
261QP2300X
- Clinic/Center / Primary Care

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.