ALTAIS MEDICAL GROUP - RIVERSIDE, INC.
NPI 1518629575
Family Medicine in Riverside, CA

Active since October 07, 2021
4646 BROCKTON AVE STE 201, RIVERSIDE, CA 92506(626) 840-1359 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Mar 9, 2026, Feb 3, 2022 and 3 more (6 updates tracked since 2021).

About Altais Medical Group - Riverside, Inc. NPPES

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

ALTAIS MEDICAL GROUP - RIVERSIDE, INC. (NPI 1518629575) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since October 2021. The organization lists Mauricio Eduardo Bueno, Director/president, as its authorized official.

NPPES Registry Identity

NPI1518629575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALTAIS MEDICAL GROUP - RIVERSIDE, INC.
Location Address4646 BROCKTON AVE STE 201Riverside, CA 92506-0104
Mailing Address4646 Brockton Ave Ste 201Riverside, CA 92506-0104 · (951) 585-1800 · Fax (951) 585-1801
Organization SubpartNo
Authorized OfficialMauricio Eduardo BuenoDirector/president · (323) 791-0557
Enumeration DateOctober 7, 2021
Last NPPES UpdateMarch 31, 20266 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1518629575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4646 BROCKTON AVE STE 201, Riverside, CA 92506

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Altais Medical Group - Riverside, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Altais Medical Group - Riverside, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Internal Medicine3
Family Practice2
Nurse Practitioner2
Obstetrics/Gynecology2
Cardiovascular Disease (Cardiology)1
Gastroenterology1
Ophthalmology1
Urology1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1609466978
4646 BROCKTON AVE STE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1912116989
4646 BROCKTON AVE STE 202
Riverside, CA 92506
(951) 585-1800
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1861697427
4646 BROCKTON AVE STE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOSSame address
Ophthalmology
NPI 1912981598
4646 BROCKTON AVE STE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548239932
4646 BROCKTON AVE SUITE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1538165196
4646 BROCKTON AVE STE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOSSame address
Internal Medicine
NPI 1003872169
4646 BROCKTON AVE STE 201
Riverside, CA 92506
(951) 585-1800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679839005
3590 CENTRAL AVE STE 100
Riverside, CA 92506
(951) 359-0660
✔ PECOS✔ Accepts Medicare1.6 mi
Gastroenterology
NPI 1841406568
7117 BROCKTON AVE
Riverside, CA 92506
(951) 697-5464
✔ PECOS✔ Accepts Medicare2.3 mi
Family Practice
NPI 1518118298
22635 ALESSANDRO BLVD STE A
Moreno Valley, CA 92553
(951) 242-2226
✔ PECOS✔ Accepts Medicare7.9 mi
Cardiovascular Disease (Cardiology)
NPI 1740200351
2250 S MAIN ST STE 201
Corona, CA 92882
(951) 621-3232
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1063463339
1701 E CESAR CHAVEZ AVE SUITE 402
Los Angeles, CA 90033
(323) 317-9200
✔ PECOS✔ Accepts Medicare48 mi
Nurse Practitioner
NPI 1558244871
4165 BLACKHAWK PLAZA CIR STE 100
Danville, CA 94506
(925) 736-7070
✔ PECOS366 mi

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

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 Altais Medical Group - Riverside, Inc.'s NPI number?

The NPI number for Altais Medical Group - Riverside, Inc. is 1518629575. It was assigned to this organization in the NPPES registry on October 7, 2021.

Where is Altais Medical Group - Riverside, Inc. located?

Altais Medical Group - Riverside, Inc. is located at 4646 Brockton Ave Ste 201, Riverside, CA 92506. The listed phone number is (626) 840-1359.

What is Altais Medical Group - Riverside, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Altais Medical Group - Riverside, Inc. enrolled in Medicare?

Yes. Altais Medical Group - Riverside, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Altais Medical Group - Riverside, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 8 Medicare specialties reassign their Medicare billing to Altais Medical Group - Riverside, Inc.. 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. The largest specialties are Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Altais Medical Group - Riverside, Inc. was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.