ALTA MEDICAL CLINIC INC OF ARIZONA
NPI 1679280671
General Practice in Phoenix, AZ

Active since October 31, 2022
4742 N 24TH ST STE 300, PHOENIX, AZ 85016(909) 236-0338 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alta Medical Clinic Inc Of Arizona NPPES

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

ALTA MEDICAL CLINIC INC OF ARIZONA (NPI 1679280671) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since October 2022. The organization lists Peterson Go, President, as its authorized official.

NPPES Registry Identity

NPI1679280671
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameALTA MEDICAL CLINIC INC OF ARIZONA
Location Address4742 N 24TH ST STE 300Phoenix, AZ 85016-9107
Mailing Address4742 N 24th St Ste 300Phoenix, AZ 85016-9107 · (909) 236-0338
Organization SubpartNo
Authorized OfficialPeterson GoPresident · (909) 236-0338
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
NPI 1679280671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4742 N 24TH ST STE 300, Phoenix, AZ 85016

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 9

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

Durable Medical Equipment & Medical Supplies
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Hospice Care, Community Based
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Nurse Practitioner (Psychiatric/Mental Health)
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Counselor (Mental Health)
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Nurse Practitioner (Psychiatric/Mental Health)
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Behavior Analyst
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
Family Medicine (Hospice and Palliative Medicine)
4742 N 24TH ST STE 300
PHOENIX, AZ 85016
In Home Supportive Care
4742 N 24TH ST STE 300
PHOENIX, AZ 85016

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 Medical Clinic Inc Of Arizona's NPI number?

The NPI number for Alta Medical Clinic Inc Of Arizona is 1679280671. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Alta Medical Clinic Inc Of Arizona located?

Alta Medical Clinic Inc Of Arizona is located at 4742 N 24th St Ste 300, Phoenix, AZ 85016. The listed phone number is (909) 236-0338.

What is Alta Medical Clinic Inc Of Arizona's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Alta Medical Clinic Inc Of Arizona was last updated on October 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.