1. Home
  2. Directory
  3. California
  4. West Covina
  5. Family Medicine
  6. NPI Profile

ACTIVE HEALTHCARE MEDICAL GROUP INC
NPI 1699955575
Family Medicine in West Covina, CA

Active since November 08, 2007
512 S GLENDORA AVE, WEST COVINA, CA 91790(626) 337-2888 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Healthcare Medical Group Inc NPPES

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

ACTIVE HEALTHCARE MEDICAL GROUP INC (NPI 1699955575) is a healthcare organization registered as a family medicine in West Covina, California and active in the NPI registry since November 2007. The organization lists Miguel Domingo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1699955575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACTIVE HEALTHCARE MEDICAL GROUP INC
Location Address512 S GLENDORA AVEWest Covina, CA 91790-3022
Mailing Address512 S Glendora AveWest Covina, CA 91790-3022 · (626) 337-2888
Phone(626) 337-2888
Organization SubpartNo
Authorized OfficialMiguel DomingoMedical Director · (626) 337-2888
Enumeration DateNovember 8, 2007
Last NPPES UpdateMarch 11, 2009
✔ NPI 1699955575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysical TherapistTaxonomy 225100000X
512 S GLENDORA AVE, West Covina, CA 91790
Open in Google Maps ↗

Other Identifiers 1

Medicare PINW16213CA

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.

JOJO JOSE RPT
Physical Therapist
512 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 337-2888
MR. MIGUEL ISLETA DOMINGO M.D.
Pediatrics
512 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 337-2888

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 Active Healthcare Medical Group Inc's NPI number?

The NPI number for Active Healthcare Medical Group Inc is 1699955575. It was assigned to this organization in the NPPES registry on November 8, 2007.

Where is Active Healthcare Medical Group Inc located?

Active Healthcare Medical Group Inc is located at 512 S Glendora Ave, West Covina, CA 91790. The listed phone number is (626) 337-2888.

What is Active Healthcare Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Active Healthcare Medical Group Inc was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.