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: July 19, 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

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology (Obstetrics)
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506
Internal Medicine
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506
Obstetrics & Gynecology
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506
Ophthalmology (Cornea and External Diseases Specialist)
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506
Family Medicine
4646 BROCKTON AVE STE 201
RIVERSIDE, CA 92506

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.

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 with the weekly NPPES data releases published by CMS.