Organization Active NPI

Health Alliance Medical Group

  • Primary Care Clinic/Center
  • Hacienda Heights, CA
National Provider Identifier
1124248570
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALTH ALLIANCE MEDICAL GROUP
Practice address
17170 Colima Rd Ste G
Hacienda Heights, CA 91745-6771
Phone
(626) 965-8202
Fax
(626) 964-9893
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Shun Tzeng, MDNPI 1649809385
Title
Ceo
Phone
(626) 965-8202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CA Primary

Addresses

Primary practice location

17170 Colima Rd Ste G
Hacienda Heights, CA 91745-6771

Mailing address

17170 Colima Rd Ste G
Hacienda Heights, CA 91745-6771
Phone (626) 965-8202

Other practice location 1

420 N Garfield Ave Ste 205
Monterey Park, CA 91754-1206
Phone (626) 965-8202

Other identifiers 2

IdentifierTypeStateIssuer
W11601OtherCAGROUP
GR0050620MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601001049 CA Part B Supplier - Clinic/Group Practice 5991747883 Receives reassigned benefits from 2 practitioners
Practice locations: Hacienda Heights, CA; Monterey Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0886403Health Alliance Medical Group17170 Colima Road #G, Hacienda Heights, CA 91745Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

1850 S Azusa Ave
#60
Hacienda Hts, CA 91745
Phone (626) 913-2822

17170 Colima Rd
Ste G
Hacienda Hts, CA 91745
Phone (626) 810-0706

880 S Atlantic Blvd
Ste 306
Monterey Park, CA 91754
Phone (818) 570-0700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1124248570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 COLIMA RD STE G",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456771",
            "telephone_number": "626-965-8202",
            "fax_number": "626-964-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 COLIMA RD STE G",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456771",
            "telephone_number": "626-965-8202",
            "fax_number": "626-964-9893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 N Garfield Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917541206",
            "country_code": "US",
            "telephone_number": "626-965-8202",
            "fax_number": "626-964-9893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH ALLIANCE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "TZENG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-965-8202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "W11601",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.