COLTON VALLEY MEDICAL GROUP
NPI 1801991450
General Practice in Colton, CA

Active since September 14, 2006CLIA 05D1075489 · Waiver
502 W VALLEY BLVD, COLTON, CA 92324(909) 825-3202(909) 825-9375 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Colton Valley Medical Group NPPES

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

COLTON VALLEY MEDICAL GROUP (NPI 1801991450) is a healthcare organization registered as a general practice in Colton, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 21, 2027 and lists Wagian Sun, President, as its authorized official.

NPPES Registry Identity

NPI1801991450
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOLTON VALLEY MEDICAL GROUP
Location Address502 W VALLEY BLVDColton, CA 92324
Mailing Address502 W Valley BlvdColton, CA 92324 · (909) 825-3202 · Fax (909) 825-9375
Fax(909) 825-9375
Organization SubpartNo
Authorized OfficialWagian SunPresident · (909) 825-3202
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1801991450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A23744
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
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Other Identifiers 2

MedicaidGR0041960CA
Medicaid00A237440CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1075489

Colton Valley Medical Care Inc · Colton, CA
Active · expires Oct 21, 2027
CLIA Number05D1075489
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorHarry R. Webb MD
Laboratory Phone(909) 825-3202
Laboratory LocationColton Valley Medical Care Inc502 W Valley Blvd, Colton, CA 92324
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
502 W VALLEY BLVD
COLTON, CA 92324
Family Medicine
502 W VALLEY BLVD
COLTON, CA 92324

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 Colton Valley Medical Group's NPI number?

The NPI number for Colton Valley Medical Group is 1801991450. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Colton Valley Medical Group located?

Colton Valley Medical Group is located at 502 W Valley Blvd, Colton, CA 92324. The listed phone number is (909) 825-3202.

What is Colton Valley Medical Group's specialty?

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

Does Colton Valley Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1075489) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colton Valley Medical Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.