Active NPI
Access Innovative Health
- Health Service Clinic/Center
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tony Song
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Health & Wellness Coach
- West Covina, CA
- NPI 1902628944
-
- Health & Wellness Coach
- West Covina, CA
- NPI 1932921970
-
- Health & Wellness Coach
- West Covina, CA
- NPI 1467274415
-
- Community Health Worker
- West Covina, CA
- NPI 1427917848
-
- Registered Dietitian
- Riverside, CA
- NPI 1629212097
-
- Pharmacist
- West Covina, CA
- NPI 1649385022
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.