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ALTA PAIN PHYSICIANS, PLLC
NPI 1063721850
Pain Medicine - Interventional Pain Medicine in Sandy, UT

Active since September 28, 2010CLIA Certified · 2 labs
11449 S 1000 E STE 102, SANDY, UT 84094(801) 462-2205(801) 326-4675 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alta Pain Physicians, Pllc NPPES

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

ALTA PAIN PHYSICIANS, PLLC (NPI 1063721850) is a healthcare organization registered as an interventional pain medicine in Sandy, Utah and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Bountiful, and lists Micheal Chen, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1063721850
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameALTA PAIN PHYSICIANS, PLLC
Location Address11449 S 1000 E STE 102Sandy, UT 84094-5584
Mailing Address11449 S 1000 E Ste 102Sandy, UT 84094-5584 · (801) 462-2205 · Fax (801) 326-4675
Phone(801) 462-2205
Fax(801) 326-4675
Organization SubpartNo
Authorized OfficialMicheal ChenAuthorized Official · (801) 462-2205
Enumeration DateSeptember 28, 2010
Last NPPES UpdateDecember 3, 2025
NPPES CertifiedDecember 3, 2025
✔ NPI 1063721850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
11449 S 1000 E STE 102, Sandy, UT 84094
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Secondary Practice Location 1

Location 1557 W 2600 SBountiful, UT 84010-7717 · Phone (801) 462-2205 · Fax (801) 326-4675

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2337766

Alta Pain Physicians PLLC · Bountiful, UT
Active · expires Jan 28, 2028
CLIA Number46D2337766
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorMichael M. Chen
Laboratory Phone(801) 462-2205
Laboratory LocationAlta Pain Physicians PLLC557 W 2600 S - 2nd Floor, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2015635

Alta Pain Physicians · Sandy, UT
Active · expires Oct 28, 2026
CLIA Number46D2015635
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorMichael M. Chen
Laboratory Phone(801) 262-2205
Laboratory LocationAlta Pain Physicians11333 S 1000 E #102, Sandy, UT 84094
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Alta Pain Physicians, PLLC's NPI number?

The NPI number for Alta Pain Physicians, PLLC is 1063721850. It was assigned to this organization in the NPPES registry on September 28, 2010.

Where is Alta Pain Physicians, PLLC located?

Alta Pain Physicians, PLLC is located at 11449 S 1000 E Ste 102, Sandy, UT 84094. The listed phone number is (801) 462-2205.

What is Alta Pain Physicians, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Alta Pain Physicians, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Alta Pain Physicians, PLLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Alta Pain Physicians, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alta Pain Physicians, PLLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.