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

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

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

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: August 16, 2026.

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

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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

Phone(626) 840-1359

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

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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.

SARAH CHAE MD

Internal Medicine