ACCESS ALLIANCE MEDICAL GROUP, INC
NPI 1629534045
Nurse Practitioner - Primary Care in Glendale, CA

Q: 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.

Q: 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.

Active since February 11, 2019

644 W BROADWAY STE 114, GLENDALE, CA 91204(323) 899-4988 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Feb 11, 2019 (2 updates tracked since 2019).

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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

NPI1629534045

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameACCESS ALLIANCE MEDICAL GROUP, INC

Location Address644 W BROADWAY STE 114Glendale, CA 91204-1026

Mailing Address105 W Alameda Ave Ste 210Burbank, CA 91502-2254 · (323) 899-4988 · Fax (818) 588-3058

Phone(323) 899-4988

Organization SubpartNo

Authorized OfficialCharlie A PonceChief Finance Officer · (323) 899-4988

Enumeration DateFebruary 11, 2019

Last NPPES UpdateJune 26, 20252 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1629534045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedPhysician AssistantTaxonomy 363A00000X

644 W BROADWAY STE 114, Glendale, CA 91204

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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

Other Providers at the Same Location NPPES 2

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

CARE AND KINDNESS HOME HEALTH SERVICES INC

Home Health

644 W BROADWAY STE 114
GLENDALE, CA 91204

Los Angeles County (818) 937-9140

A & L HOSPICE SERVICES, INC.

Hospice Care, Community Based

644 W BROADWAY STE 114
GLENDALE, CA 91204

Los Angeles County (818) 502-9059

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.

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 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.