Access Alliance Medical Group, Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ACCESS ALLIANCE MEDICAL GROUP, INC

Practice address

644 W Broadway Ste 114
Glendale, CA 91204-1026

Phone

(323) 899-4988

NPI assigned

Feb 11, 2019

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlie A Ponce

Title

Chief Finance Officer

Phone

(323) 899-4988

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Carlo Arrojado

  • Family Nurse Practitioner
  • Cerritos, CA
  • NPI 1689027484
  Medicare reassignment NPD
• Irina Ayrapetyan

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1720837362
  Medicare reassignment NPD
• Ronald Yusi Bangsil, MD

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043261654
  Medicare reassignment NPD
• Regina Isabel Cuenca, FNP-C, MSN

  • Family Nurse Practitioner
  • Redondo Beach, CA
  • NPI 1114696796
  Medicare reassignment NPD
• Marisa Hernandez Desilva, APN

  • Family Nurse Practitioner
  • Fountain Valley, Ca, CA
  • NPI 1083815229
  Medicare reassignment NPD
• Yeranuhi Yera Hambardzumyan

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1295565562
  Medicare reassignment NPD
• Jacquiline Rances Jamora

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1215276456
  Medicare reassignment NPD
• Varduhi Karapetyan

  • Nurse Practitioner
  • Glendale, CA
  • NPI 1942767330
  Medicare reassignment NPD
• Mark Recio

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1215474390
  Medicare reassignment NPD
• Sally Sayasa, NP

  • Pain Medicine Physician
  • Fountain Valley, CA
  • NPI 1396497087
  Medicare reassignment NPD
• Igor Gary Shlifer, D.O.

  • Internal Medicine Physician
  • Calabasas, CA
  • NPI 1295174860
  Medicare reassignment NPD
• Tigranuhi Tina Tadevosyan

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1750152211
  Medicare reassignment NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1629534045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W ALAMEDA AVE STE 210",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022254",
            "telephone_number": "323-899-4988",
            "fax_number": "818-588-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W BROADWAY STE 114",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041026",
            "telephone_number": "323-899-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ALLIANCE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "323-899-4988"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Access Laboratories, Inc
• Access Wound Care and Podiatry Care Clinic
• Accumed Inc (Flower Rx)
• Accumed Inc (Flower RX)

• Primary Care Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.