Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Access Alliance Medical Group, Inc

Organization Physician Assistant · NPI 1629534045

Access Alliance Medical Group, Inc is a Physician Assistant in Glendale, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

644 W Broadway Ste 114
Glendale, CA 91204-1026
Phone: (323) 899-4988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1629534045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Ponce — Chief Finance Officer · (323) 899-4988
NPI enumeratedFebruary 11, 2019
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address105 W Alameda Ave Ste 210, Burbank, CA 91502-2254

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