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INNOVATIVE MEDICAL GROUP
NPI 1003407735
Internal Medicine in Temecula, CA

Active since January 26, 2021CLIA 05D2329355 · Waiver
44045 MARGARITA RD STE 103, TEMECULA, CA 92592(951) 880-0701(951) 904-3647 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2025, Sep 13, 2024, May 23, 2023 and 2 more (5 updates tracked since 2021).

About Innovative Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE MEDICAL GROUP (NPI 1003407735), doing business as Innovative Medical Group Temecula, is a healthcare organization registered as an internal medicine in Temecula, California and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Alma Torres, Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1003407735
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINNOVATIVE MEDICAL GROUP
Location Address44045 MARGARITA RD STE 103Temecula, CA 92592-2729
Mailing Address44045 Margarita Rd Ste 102Temecula, CA 92592-2729 · (951) 517-7916
Phone(951) 880-0701
Fax(951) 904-3647
Organization SubpartNo
Authorized OfficialAlma TorresDirector Credentialing · (951) 880-0701
Enumeration DateJanuary 26, 2021
Last NPPES UpdateOctober 9, 20255 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1003407735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
44045 MARGARITA RD STE 103, Temecula, CA 92592
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Other Names 1

Doing Business AsInnovative Medical Group Temecula

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Innovative Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Internal Medicine6
Family Practice3
Nurse Practitioner3
Hospitalist2
Physical Medicine and Rehabilitation1

Clinicians, nearest first (15)

Anesh Patel, MD
Family Practice
NPI 1558820845
44045 MARGARITA RD STE 101
Temecula, CA 92592
(951) 302-1122
✔ PECOS✔ Accepts MedicareSame address
Richard Jin, M.D.
Internal Medicine
NPI 1053754366
31700 TEMECULA PKWY
Temecula, CA 92592
(951) 303-8939
✔ PECOS✔ Accepts Medicare0.2 mi
Cynthia Recinto, M.D.
Internal Medicine
NPI 1750486015
36485 INLAND VALLEY DR
Wildomar, CA 92595
(570) 971-8731
✔ PECOS✔ Accepts Medicare11 mi
Shawn Mo, DO
Internal Medicine
NPI 1033679873
2185 CITRACADO PKWY
Escondido, CA 92029
(442) 281-5000
✔ PECOS✔ Accepts Medicare25 mi
Rodalyn Brown, FNP
Nurse Practitioner
NPI 1184163206
6786 VERMARINE CT
Carlsbad, CA 92009
(760) 889-1763
✔ PECOS✔ Accepts Medicare27 mi
Amelia Lynn Henninger, MD
Internal Medicine
NPI 1932634805
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
✔ PECOS✔ Accepts Medicare43 mi
Genaro Martinez, M.D.
Hospitalist
NPI 1235157843
2101 N WATERMAN AVE
San Bernardino, CA 92404
(909) 881-4520
✔ PECOS✔ Accepts Medicare46 mi
Christine Ko, MD
Family Practice
NPI 1265466551
6699 ALVARADO RD SUITE 2100
San Diego, CA 92120
(619) 229-3909
✔ PECOS✔ Accepts Medicare49 mi
Kirk Hall, FNP
Nurse Practitioner
NPI 1710406848
4452 PARK BLVD STE 203
San Diego, CA 92116
(619) 202-0328
✔ PECOS✔ Accepts Medicare50 mi
Ronald Atillo, AG-ACNP-BC
Nurse Practitioner
NPI 1346747391
200 W ARBOR DR
San Diego, CA 92103
(800) 926-8273
✔ PECOS✔ Accepts Medicare50 mi
Samiollah Gholam, M.D
Internal Medicine
NPI 1326457904
4725 MARKET ST
San Diego, CA 92102
(619) 515-2560
✔ PECOS✔ Accepts Medicare53 mi
David Sea Jong Chang, MD
Family Practice
NPI 1740849066
91275 66TH STREET SUITE 500
Mecca, CA 92254
(760) 396-1249
✔ PECOS60 mi
Sanjay Muttreja, MD
Hospitalist
NPI 1447201173
10 WOODLAND RD
Saint Helena, CA 94574
(707) 963-6399
✔ PECOS✔ Accepts Medicare460 mi
Anam Goraya, MD
Internal Medicine
NPI 1174082432
4755 OGLETOWN STANTON ROAD SUITE 5A43
Newark, DE 19718
(302) 623-0188
✔ PECOS✔ Accepts Medicare2,322 mi
Vincent Huang, M.D
Physical Medicine and Rehabilitation
NPI 1437319001
580 WHITE PLAINS RD STE 120A
Tarrytown, NY 10591
(914) 306-7274
✔ PECOS✔ Accepts Medicare2,415 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2329355

Innovative Medical Group · Temecula, CA
Active · expires Aug 26, 2027
CLIA Number05D2329355
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorRichard Jin
Laboratory Phone(951) 880-0701
Laboratory LocationInnovative Medical Group44045 Margarita Rd Ste 103, Temecula, CA 92592
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Medical Group's NPI number?

The NPI number for Innovative Medical Group is 1003407735. It was assigned to this organization in the NPPES registry on January 26, 2021. The provider is doing business as Innovative Medical Group Temecula.

Where is Innovative Medical Group located?

Innovative Medical Group is located at 44045 Margarita Rd Ste 103, Temecula, CA 92592. The listed phone number is (951) 880-0701.

What is Innovative Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Innovative Medical Group enrolled in Medicare?

Yes. Innovative Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 5 Medicare specialties reassign their Medicare billing to Innovative Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (6), Family Practice (3) and Nurse Practitioner (3). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2329355) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Innovative Medical Group was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.