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ALTA CALIFORNIA MEDICAL GROUP, INC.
NPI 1740290634
Family Medicine in Simi Valley, CA

Active since August 09, 2006
2755 ALAMO ST STE 201, SIMI VALLEY, CA 93065(805) 578-9620(805) 955-0498 Get Directions Write a Review

NPPES record last updated: November 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 24, 2023, Oct 23, 2023, Jan 22, 2020 (3 updates tracked since 2020).

About Alta California Medical Group, Inc. NPPES

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

ALTA CALIFORNIA MEDICAL GROUP, INC. (NPI 1740290634) is a healthcare organization registered as a family medicine in Simi Valley, California and active in the NPI registry since August 2006. The organization lists Alberto Jose Odio, President, as its authorized official.

NPPES Registry Identity

NPI1740290634
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALTA CALIFORNIA MEDICAL GROUP, INC.
Location Address2755 ALAMO ST STE 201Simi Valley, CA 93065-1311
Mailing Address2925 Sycamore Dr, Suite 204-205Simi Valley, CA 93065-1207 · (805) 578-9620 · Fax (805) 955-0498
Phone(805) 578-9620
Fax(805) 955-0498
Organization SubpartNo
Authorized OfficialAlberto Jose OdioPresident · (805) 578-9620
Enumeration DateAugust 9, 2006
Last NPPES UpdateNovember 24, 20233 updates tracked since enumeration
NPPES CertifiedNovember 24, 2023
✔ NPI 1740290634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 3270701
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.
2755 ALAMO ST STE 201, Simi Valley, CA 93065
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Other Identifiers 1

OtherW14981Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

REBECCA RICHMOND
Nurse Practitioner (Family)
2755 ALAMO ST STE 201
SIMI VALLEY, CA 93065
Ventura County (805) 578-9620
DR. KEVIN BRECK WESTBROOK M.D.
Family Medicine
2755 ALAMO ST STE 201
SIMI VALLEY, CA 93065
Ventura County (805) 988-7070
RHEA ACUNA MANUEL
Family Medicine
2755 ALAMO ST STE 201
SIMI VALLEY, CA 93065
Ventura County (805) 988-7070

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 California Medical Group, Inc.'s NPI number?

The NPI number for Alta California Medical Group, Inc. is 1740290634. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Alta California Medical Group, Inc. located?

Alta California Medical Group, Inc. is located at 2755 Alamo St Ste 201, Simi Valley, CA 93065. The listed phone number is (805) 578-9620.

What is Alta California 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 Alta California Medical Group, Inc. was last updated on November 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.