Alta Medical Clinic Inc of Arizona
NPI 1679280671ActiveOrganization· General Practice· Phoenix, AZ
General Practice in Phoenix, Arizona, registered in NPPES in October 2022. The authorized official on file is Peterson Go, President.
Overview
| NPI | 1679280671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2022 |
| Last updated in NPPES | Oct 31, 2022 |
| Certified by provider | Oct 31, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 2084B0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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