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ALTA CIELO MEDICAL GROUP INC
NPI 1528958626
Family Medicine in West Covina, CA

Active since July 09, 2025
855 N LARK ELLEN AVE # J1, WEST COVINA, CA 91791(626) 722-4695(626) 727-7180 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2025, Jul 9, 2025 (2 updates tracked since 2025).

About Alta Cielo Medical Group Inc NPPES

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

ALTA CIELO MEDICAL GROUP INC (NPI 1528958626) is a healthcare organization registered as a family medicine in West Covina, California and active in the NPI registry since July 2025. The organization lists Agnes Duldulao, Owner, as its authorized official.

NPPES Registry Identity

NPI1528958626
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALTA CIELO MEDICAL GROUP INC
Location Address855 N LARK ELLEN AVE # J1West Covina, CA 91791-1099
Mailing Address855 N Lark Ellen Ave # J1West Covina, CA 91791-1099 · (626) 722-4695 · Fax (626) 727-7180
Phone(626) 722-4695
Fax(626) 727-7180
Organization SubpartNo
Authorized OfficialAgnes DuldulaoOwner · (626) 722-4695
Enumeration DateJuly 9, 2025
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1528958626 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.
855 N LARK ELLEN AVE # J1, West Covina, CA 91791
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Alta Cielo Medical Group Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Helen Le, FNP-C
Nurse Practitioner
NPI 1700644200
355 EAST RINCON STREET SUITE 217
Corona, CA 92879
(714) 829-7026
✔ PECOS✔ Accepts Medicare24 mi
Beheshteh Adabzadeh
Nurse Practitioner
NPI 1881374106
23247 MAIN ST
Carson, CA 90745
(310) 429-0839
✔ PECOS27 mi
Tyson Landeza, M.D.
Pain Management
NPI 1235251117
2390 CRENSHAW BLVD STE E188
Torrance, CA 90501
(310) 679-1890
✔ PECOS✔ Accepts Medicare29 mi
Sahar Morris, FNP
Nurse Practitioner
NPI 1659169076
27800 MEDICAL CENTER RD STE 110
Mission Viejo, CA 92691
(949) 736-6100
✔ PECOS✔ Accepts Medicare37 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 Alta Cielo Medical Group Inc's NPI number?

The NPI number for Alta Cielo Medical Group Inc is 1528958626. It was assigned to this organization in the NPPES registry on July 9, 2025.

Where is Alta Cielo Medical Group Inc located?

Alta Cielo Medical Group Inc is located at 855 N Lark Ellen Ave # J1, West Covina, CA 91791. The listed phone number is (626) 722-4695.

What is Alta Cielo Medical Group Inc's specialty?

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

Is Alta Cielo Medical Group Inc enrolled in Medicare?

Yes. Alta Cielo Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alta Cielo Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Alta Cielo Medical Group 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 Nurse Practitioner (3) and Pain Management (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alta Cielo Medical Group Inc was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.