ORANGECREST MEDICAL GROUP, INC.
NPI 1033676317
Family Medicine in Riverside, CA

Q: What is Orangecrest Medical Group, Inc.'s NPI number?

The NPI number for Orangecrest Medical Group, Inc. is 1033676317. It was assigned to this organization in the NPPES registry on February 22, 2019.

Q: What is Orangecrest Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 22, 2019CLIA 05D1013426 · Waiver

4646 BROCKTON AVE STE 203, RIVERSIDE, CA 92506(951) 774-2881(951) 774-2846 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2023, Apr 22, 2020, Feb 22, 2019 (3 updates tracked since 2019).

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About Orangecrest Medical Group, Inc. NPPES

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

ORANGECREST MEDICAL GROUP, INC. (NPI 1033676317) is a healthcare organization registered as a family medicine in Riverside, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through June 9, 2027 and lists Yolanda Sanchez, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1033676317

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameORANGECREST MEDICAL GROUP, INC.

Location Address4646 BROCKTON AVE STE 203Riverside, CA 92506-0104

Mailing Address4646 Brockton Ave Ste 203Riverside, CA 92506-0104 · (951) 774-2881 · Fax (951) 774-2846

Phone(951) 774-2881

Fax(951) 774-2846

Organization SubpartNo

Authorized OfficialYolanda SanchezOperations Manager · (951) 682-1622

Enumeration DateFebruary 22, 2019

Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration

NPPES CertifiedOctober 13, 2023

✔ NPI 1033676317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

4646 BROCKTON AVE STE 203, Riverside, CA 92506

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Other Identifiers 1

Other4232015CA · Articles Of Incorporation

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 05D1013426

Orangecrest Medical Group · Riverside, CA

Active · expires Jun 9, 2027

CLIA Number05D1013426

Laboratory TypePhysician Office

Certificate Effective DateJune 10, 2025

Certificate Expiration DateJune 9, 2027

Laboratory DirectorElias F. Sanchez

Laboratory Phone(951) 653-0655

Laboratory LocationOrangecrest Medical Group14200 Meridian Pkwy, Riverside, CA 92506

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY OWEN

Nurse Practitioner (Acute Care)