Access Alliance Medical Group, Inc
NPI 1629534045 · Primary Care Nurse Practitioner · Glendale, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Access Alliance Medical Group, Inc is a Primary Care Nurse Practitioner organization in Glendale, CA (NPI 1629534045).
Provider details
- NPI number
- 1629534045
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Charlie Ponce, Chief Finance Officer(323) 899-4988
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2019-02-11
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Frequently asked questions
- What is Access Alliance Medical Group, Inc's NPI number?
- Access Alliance Medical Group, Inc's National Provider Identifier (NPI) is 1629534045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Access Alliance Medical Group, Inc?
- Access Alliance Medical Group, Inc is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Access Alliance Medical Group, Inc located?
- Access Alliance Medical Group, Inc's practice location on file with NPPES is 644 W Broadway Ste 114, Glendale, CA 91204-1026.
- What is Access Alliance Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Access Alliance Medical Group, Inc is (323) 899-4988.
- Does Access Alliance Medical Group, Inc accept Medicare?
- Access Alliance Medical Group, 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 Access Alliance Medical Group, Inc?
- The authorized official listed on Access Alliance Medical Group, Inc's NPPES record is Charlie Ponce, Chief Finance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Access Alliance Medical Group, Inc's NPI active?
- Yes — Access Alliance Medical Group, Inc's NPI (1629534045) is active in the NPPES registry as of the last update on 2025-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.