Organization Active NPI

Access Innovative Health

  • Health Service Clinic/Center
  • West Covina, CA
National Provider Identifier
1972139103
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ACCESS INNOVATIVE HEALTH
Practice address
336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060
Phone
(626) 814-0111
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mr. Tony SongNPI 1902628944
Title
Ceo
Phone
(626) 488-0692

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060

Mailing address

336 1/2 S Glendora Ave Ste C
West Covina, CA 91790-3060
Phone (626) 814-0111

National Provider Directory

National Provider Directory

Locations

1339 W Garvey Ave N
West Covina, CA 91790
Phone (626) 814-0111

336 S Glendora Ave
Ste C
West Covina, CA 91790
Phone (626) 814-0111

Practitioners & affiliated clinicians

Practitioners 6

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": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1972139103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 1/2 S GLENDORA AVE STE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903060",
            "telephone_number": "626-814-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 1/2 S GLENDORA AVE STE C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903060",
            "telephone_number": "626-814-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS INNOVATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-488-0692",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.