Prime Access Medical Group
NPI 1912724048 · Vascular & Interventional Radiology Physician · Chino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prime Access Medical Group is a Vascular & Interventional Radiology Physician organization in Chino, CA (NPI 1912724048).
Provider details
- NPI number
- 1912724048
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gabrielle Gonzalez, Credentialing Specialist(909) 684-4404
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1417 W Beverly Blvd Ste 106Montebello, CA 90640-4125Phone: (626) 657-8002Fax: (626) 270-4328
Registry dates
- Enumerated
- 2024-09-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-19
Frequently asked questions
- What is Prime Access Medical Group's NPI number?
- Prime Access Medical Group's National Provider Identifier (NPI) is 1912724048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Access Medical Group?
- Prime Access Medical Group is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Prime Access Medical Group located?
- Prime Access Medical Group's practice location on file with NPPES is 12611 9th St, Chino, CA 91710-3528.
- What is Prime Access Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Prime Access Medical Group is (626) 657-8002.
- Does Prime Access Medical Group accept Medicare?
- Prime Access Medical Group 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 Prime Access Medical Group?
- The authorized official listed on Prime Access Medical Group's NPPES record is Gabrielle Gonzalez, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Access Medical Group's NPI active?
- Yes — Prime Access Medical Group's NPI (1912724048) is active in the NPPES registry as of the last update on 2024-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.