OrganizationActive
Primary Access Medical Group, Inc
NPI 1801032164 · General Practice Physician · Long Beach, CA
Provider details
- NPI number
- 1801032164
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brent Pratley, Medical Director(562) 728-9600
- License
- A54374 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
273 E South St
Long Beach, CA 90805-4631
Phone: (562) 728-9600
Fax: (562) 422-9011
Street-level locationGet directions
Mailing address
Po Box 607
San Dimas, CA 91773-0607
Registry dates
- Enumerated
- 2008-12-16
- Last updated
- 2008-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.