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

NPI Status: Active since February 11, 2019

Contact Information

644 W BROADWAY STE 114
GLENDALE, CA
ZIP 91204
Phone: (323) 899-4988

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  • Organization
  • Nurse Practitioner
  • Primary Care

About ACCESS ALLIANCE MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Access Alliance Medical Group, Inc, a provider established in Glendale, California operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1629534045 assigned on February 2019. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. Access Alliance Medical Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Charlie A Ponce (Chief Finance Officer)

NPI
1629534045
Provider Name
ACCESS ALLIANCE MEDICAL GROUP, INC
Entity Type
Organization
Location Address
644 W BROADWAY STE 114 GLENDALE, CA 91204
Location Phone
(323) 899-4988
Mailing Address
105 W ALAMEDA AVE STE 210 BURBANK, CA 91502
Mailing Phone
(323) 899-4988
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2019
Last Update Date
06-26-2025
Code Navigator

A nurse practitioner (NP) like Access Alliance Medical Group, Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLIE A PONCE

Authorized Official Title
CHIEF FINANCE OFFICER
Authorized Official Phone
(323) 899-4988

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629534045, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 1 + 0 + 3 + 8 + 0 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1629534045.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Hospice Care, Community Based
644 W BROADWAY STE 114
GLENDALE, CA 91204
Home Health
644 W BROADWAY STE 114
GLENDALE, CA 91204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629534045, enumerated as an "organization" on February 11, 2019.

The provider is located at 644 W BROADWAY STE 114 GLENDALE, CA 91204 and the phone number is (323) 899-4988.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.