Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LLPMG COLTON
NPI 1043133747
Nurse Practitioner - Psychiatric/Mental Health in Colton, CA

Active since July 31, 2026
1007 E COOLEY DR STE 109, COLTON, CA 92324(909) 370-4700(888) 505-0620 Get Directions Write a Review

NPPES record added: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Llpmg Colton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LLPMG COLTON (NPI 1043133747) is a healthcare organization registered as a psychiatric/mental health in Colton, California and active in the NPI registry since July 2026. The organization lists Liberty Olive Macias, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043133747
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLLPMG COLTON
Location Address1007 E COOLEY DR STE 109Colton, CA 92324-3901
Mailing Address1007 E Cooley Dr Ste 109Colton, CA 92324-3901 · (909) 370-4700 · Fax (888) 505-0620
Fax(888) 505-0620
Organization SubpartNo
Authorized OfficialLiberty Olive MaciasCeo · (909) 900-6465
Enumeration DateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
NPI 1043133747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1007 E COOLEY DR STE 109, Colton, CA 92324

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
1007 E COOLEY DR STE 109
COLTON, CA 92324
Nurse Practitioner
1007 E COOLEY DR STE 109
COLTON, CA 92324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Llpmg Colton's NPI number?

The NPI number for Llpmg Colton is 1043133747. It was assigned to this organization in the NPPES registry on July 31, 2026.

Where is Llpmg Colton located?

Llpmg Colton is located at 1007 E Cooley Dr Ste 109, Colton, CA 92324. The listed phone number is (909) 370-4700.

What is Llpmg Colton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Llpmg Colton was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.