Moreno Valley Community Medical Group is a medicare enrolled "Clinic/center - Multi-specialty" provider in Moreno Valley, California. Their current practice location is
23180 Hemlock Ave Ste 201, Moreno Valley, California. You can reach out to their office (for appointments etc.) via phone at
(951) 243-6460.
Moreno Valley Community Medical Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Moreno Valley Community Medical Group
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1437595873.
Healthcare Provider's Profile
| Full Name | Moreno Valley Community Medical Group |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 23180 Hemlock Ave Ste 201, Moreno Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437595873
- Provider Enumeration Date: 05/13/2013
- Last Update Date: 04/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224316203
- Enrollment ID: O20161026000353
Medical Identifiers
Medical identifiers for Moreno Valley Community Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437595873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | (* (Not Available)) | Secondary |
| 1835P1200X | Pharmacist - Pharmacotherapy | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Moreno Valley Community Medical Group acts as a billing entity for following providers:
| Provider Name | Joel A Pengson |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1720018237
PECOS PAC ID: 9638135353
Enrollment ID: I20041204000223 |
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| Provider Name | Humera Rana |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1801982632
PECOS PAC ID: 3577632785
Enrollment ID: I20100924001289 |
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| Provider Name | Allan C Elarmo |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1659705689
PECOS PAC ID: 9638326259
Enrollment ID: I20140709001492 |
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| Provider Name | Rosalyn R Elarmo |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1922432954
PECOS PAC ID: 7517281066
Enrollment ID: I20150112000540 |
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| Provider Name | Georgina Laus Villacorta |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1174192512
PECOS PAC ID: 8820485451
Enrollment ID: I20220428001115 |
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| Provider Name | Shamjana Acharya |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1811616642
PECOS PAC ID: 8729450309
Enrollment ID: I20230207003616 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moreno Valley Community Medical Group is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Moreno Valley Community Medical Group
Po Box 220,
Moreno Valley, CA 92556-0220
Ph: (951) 243-6460 | Moreno Valley Community Medical Group
23180 Hemlock Ave Ste 201,
Moreno Valley, CA 92557-8001
Ph: (951) 243-6460 |
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