VOLTA MEDICAL GROUP
NPI 1245972306
Clinic/Center - Primary Care in Jurupa Valley, CA

Active since April 10, 2022CLIA 05D2273897 · Waiver
9415 MISSION BLVD STE P, JURUPA VALLEY, CA 92509(833) 865-8263 Get Directions Write a Review

NPPES record last updated: May 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2023, Apr 10, 2022 (2 updates tracked since 2022).

About Volta Medical Group NPPES

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

VOLTA MEDICAL GROUP (NPI 1245972306) is a healthcare organization registered as a primary care in Jurupa Valley, California and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026, maintains a secondary practice location in Moreno Valley, and lists Maxwell Setsoafia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245972306
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVOLTA MEDICAL GROUP
Location Address9415 MISSION BLVD STE PJurupa Valley, CA 92509-2600
Mailing Address9415 Mission Blvd Ste PJurupa Valley, CA 92509-2600 · (833) 865-8263
Organization SubpartNo
Authorized OfficialMaxwell SetsoafiaCeo · (310) 308-4550
Enumeration DateApril 10, 2022
Last NPPES UpdateMay 13, 20232 updates tracked since enumeration
NPPES CertifiedMay 13, 2023
✔ NPI 1245972306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
9415 MISSION BLVD STE P, Jurupa Valley, CA 92509

Secondary Practice Location 1

Location 124318 Hemlock Ave Ste E1Moreno Valley, CA 92557-7225 · Phone (951) 243-5050

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Volta Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Volta Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1306873583
250 S GRAND AVE
Glendora, CA 91741
(626) 857-3170
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 05D2273897

Volta Medical Group · Jurupa Valley, CA
Active · expires Dec 19, 2026
CLIA Number05D2273897
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorTeresa T. Vargas
Laboratory Phone(833) 865-8263
Laboratory LocationVolta Medical Group9415 Mission Blvd, Ste P, Jurupa Valley, CA 92509
CLIA data matches this NPI record on: Address Name Phone
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 Volta Medical Group's NPI number?

The NPI number for Volta Medical Group is 1245972306. It was assigned to this organization in the NPPES registry on April 10, 2022.

Where is Volta Medical Group located?

Volta Medical Group is located at 9415 Mission Blvd Ste P, Jurupa Valley, CA 92509. The listed phone number is (833) 865-8263.

What is Volta Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Volta Medical Group enrolled in Medicare?

Yes. Volta Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Volta Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Volta Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Volta Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2273897) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Volta Medical Group was last updated on May 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.