Volta Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VOLTA MEDICAL GROUP

Doing business as

Voltamed Community Clinic

Practice address

24318 Hemlock Ave Ste E1
Moreno Valley, CA 92557-7225

Phone

(951) 243-5050

Fax

(951) 243-5586

NPI assigned

May 18, 2023

Last updated

May 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VOLTA MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Maxwell Setsoafia

Title

Ceo

Phone

(310) 308-4550

Specialties & licenses 1

Addresses

Other names 1

• Voltamed Community Clinic Doing business as

Tax ID family

Volta Medical Group2 organizations share this tax ID, including this one

Part of

Volta Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Volta Medical Group

  • Primary Care Clinic/Center
  • Jurupa Valley, CA
  • NPI 1245972306
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Volta Medical Group

  • Primary Care Clinic/Center
  • Jurupa Valley, CA
  • NPI 1245972306
  NPPES parent name

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1174214225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE STE E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577225",
            "telephone_number": "951-243-5050",
            "fax_number": "951-243-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE STE E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577225",
            "telephone_number": "951-243-5050",
            "fax_number": "951-243-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLTA MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VOLTA MEDICAL GROUP",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "SETSOAFIA",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-308-4550"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Voltamed Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dao Vo
• Eric Quang Vo, PHARMD
• Helen Vo
• Travis Vo, DDS
• Rostam Vohoumani, DO
• Tracy Kai Voong
• Huong T Vu, O.D.
• Madhir Shyam Vyas, MD
• Rohini Jagdish Vyas, DO
• Cynthia Lee Vykouk, PHARM. D.

• Primary Care Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.