ACCESS ALLIANCE MEDICAL GROUP, INC
NPI 1629534045
Nurse Practitioner - Primary Care in Glendale, CA
About Access Alliance Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACCESS ALLIANCE MEDICAL GROUP, INC (NPI 1629534045) is a healthcare organization registered as a primary care in Glendale, California and active in the NPI registry since February 2019. The organization lists Charlie A Ponce, Chief Finance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Access Alliance Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Access Alliance Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Fountain Valley, Ca, CA 92708
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 Access Alliance Medical Group, Inc's NPI number?
The NPI number for Access Alliance Medical Group, Inc is 1629534045. It was assigned to this organization in the NPPES registry on February 11, 2019.
Where is Access Alliance Medical Group, Inc located?
Access Alliance Medical Group, Inc is located at 644 W Broadway Ste 114, Glendale, CA 91204. The listed phone number is (323) 899-4988.
What is Access Alliance Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Access Alliance Medical Group, Inc enrolled in Medicare?
Yes. Access Alliance Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Access Alliance Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Access Alliance 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 (11), Family Practice (1) and General Surgery (1). Of these, 4 practice 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 Access Alliance Medical Group, Inc was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Access Alliance Medical Group, Inc · NPI 1629534045
Primary Care organization in Glendale, California. Organization record, active in the CMS NPPES registry since February 11, 2019.
## Identity
- **NPI:** 1629534045 (Entity type: Organization)
- **Enumerated:** February 11, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Charlie Ponce, CHIEF FINANCE OFFICER
## Practice location
- **Address:** 644 W BROADWAY STE 114, Glendale, CA 91204-1026
- **Phone:** (323) 899-4988
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (1), General Surgery (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629534045) · Data from the CMS NPPES public registry.