Colton Valley Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A23744 Issued in CA

Legal business name

COLTON VALLEY MEDICAL GROUP

Practice address

502 W Valley Blvd
Colton, CA 92324

Phone

(909) 825-3202

Fax

(909) 825-9375

NPI assigned

Sep 14, 2006

Last updated

Sep 11, 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

Wagian Sun, MD

Title

President

Phone

(909) 825-3202

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1801991450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-825-3202",
            "fax_number": "909-825-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-825-3202",
            "fax_number": "909-825-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLTON VALLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SUN",
        "authorized_official_first_name": "WAGIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-825-3202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A23744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041960",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A237440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark E Comunale, M.D.
• Steven Conley
• Melinda Constanza

• General Practice Physician in Colton, CA
• Providers in Colton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.