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

NPI Status: Active since October 31, 2022

Contact Information

4742 N 24TH ST STE 300
PHOENIX, AZ
ZIP 85016
Phone: (909) 236-0338

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
General Practice

About ALTA MEDICAL CLINIC INC OF ARIZONA

This page provides the complete NPI Profile along with additional information for Alta Medical Clinic Inc Of Arizona, a primary care provider established in Phoenix, Arizona operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1679280671 assigned on October 2022. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Alta Medical Clinic Inc Of Arizona operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Peterson Go (President)

NPI: 1679280671
Provider Name: ALTA MEDICAL CLINIC INC OF ARIZONA
Entity Type: Organization
Location Address: 4742 N 24TH ST STE 300 PHOENIX, AZ 85016
Location Phone: (909) 236-0338
Mailing Address: 4742 N 24TH ST STE 300 PHOENIX, AZ 85016
Mailing Phone: (909) 236-0338
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-31-2022
Last Update Date: 10-31-2022
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A primary care provider (PCP) like Alta Medical Clinic Inc Of Arizona sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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: General Practice
Taxonomy Code: 208D00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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

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)
1	2084B0040X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry

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: PETERSON GO
Authorized Official Title: PRESIDENT
Authorized Official Phone: (909) 236-0338

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	7	9	2	8	0	6	7	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	14	9	4	8	0	6	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 4 + 8 + 0 + 6 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1679280671 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.