Nurse Practitioner, Primary Care
ACCESS ALLIANCE MEDICAL GROUP, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1629534045 · enumerated 2019-02-11 · record updated 2025-06-26. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CHARLIE PONCE, Chief Finance Officer · (323) 899-4988
Addresses and phones
- Practice location 644 W BROADWAY STE 114, GLENDALE, CA, 91204-1026 (323) 899-4988 Google Maps Apple Maps OpenStreetMap
- Mailing address 105 W ALAMEDA AVE STE 210, BURBANK, CA, 91502-2254 (323) 899-4988 Fax (818) 588-3058 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Nurse Practitioner, Primary Care 363LP2300X · Primary
In this directory
CA Los Angeles County Glendale Nurse Practitioner, Primary Care
Locations and evidence
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Practice location
GLENDALE, CA, 912041026
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.