ALTA MEDICAL GROUP OF CALIFORNIA
NPI 1508580523
General Practice in Rancho Cucamonga, CA

Active since October 03, 2022
9836 FOOTHILL BLVD STE 610, RANCHO CUCAMONGA, CA 91730(909) 236-0338 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alta Medical Group Of California NPPES

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

ALTA MEDICAL GROUP OF CALIFORNIA (NPI 1508580523) is a healthcare organization registered as a general practice in Rancho Cucamonga, California and active in the NPI registry since October 2022. The organization lists Peterson Go, President, as its authorized official.

NPPES Registry Identity

NPI1508580523
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameALTA MEDICAL GROUP OF CALIFORNIA
Location Address9836 FOOTHILL BLVD STE 610Rancho Cucamonga, CA 91730-3660
Mailing Address9836 Foothill Blvd Ste 610Rancho Cucamonga, CA 91730-3660 · (909) 236-0338
Organization SubpartNo
Authorized OfficialPeterson GoPresident · (909) 236-0338
Enumeration DateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
NPI 1508580523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

9836 FOOTHILL BLVD STE 610, Rancho Cucamonga, CA 91730

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

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

General Practice
9836 FOOTHILL BLVD STE 610
RANCHO CUCAMONGA, CA 91730

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 Medical Group Of California's NPI number?

The NPI number for Alta Medical Group Of California is 1508580523. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Alta Medical Group Of California located?

Alta Medical Group Of California is located at 9836 Foothill Blvd Ste 610, Rancho Cucamonga, CA 91730. The listed phone number is (909) 236-0338.

What is Alta Medical Group Of California's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Alta Medical Group Of California was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.