OrganizationActive
Ultimate Medical Practice a Professional Corporation
NPI 1962659573 · Primary Care Clinic/Center · Highland, CA
Provider details
- NPI number
- 1962659573
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Kangah, Medical Director/President(909) 864-1006
- License
- A55122 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 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
3654 Highland Ave
Suite 15
Highland, CA 92346-2614
Phone: (909) 864-1006
Fax: (909) 864-1625
Street-level locationGet directions
Mailing address
3654 Highland Ave
Highland, CA 92346-2614
Registry dates
- Enumerated
- 2008-08-26
- Last updated
- 2009-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.