PERRIS VALLEY MEDICAL GROUP, INC.
NPI 1083851703
Family Medicine in Perris, CA
About Perris Valley Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRIS VALLEY MEDICAL GROUP, INC. (NPI 1083851703) is a healthcare organization registered as a family medicine in Perris, California and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists George Villanueva, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Perris Valley Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Perris Valley Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 05D0958503
Perris Valley Medical Group, Inc · Perris, CAFrequently 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 Perris Valley Medical Group, Inc.'s NPI number?
The NPI number for Perris Valley Medical Group, Inc. is 1083851703. It was assigned to this organization in the NPPES registry on January 16, 2009.
Where is Perris Valley Medical Group, Inc. located?
Perris Valley Medical Group, Inc. is located at 126 Avocado Ave Suite 207, Perris, CA 92571. The listed phone number is (951) 657-0544.
What is Perris Valley Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Perris Valley Medical Group, Inc. enrolled in Medicare?
Yes. Perris Valley Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perris Valley Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Perris Valley Medical Group, Inc.. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Perris Valley Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0958503) is associated with this NPI, valid through July 31, 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 Perris Valley Medical Group, Inc. was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Perris Valley Medical Group, Inc. · NPI 1083851703
Family Medicine organization in Perris, California. Organization record, active in the CMS NPPES registry since January 16, 2009.
## Identity
- **NPI:** 1083851703 (Entity type: Organization)
- **Enumerated:** January 16, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** George Villanueva, PRESIDENT
## Practice location
- **Address:** 126 AVOCADO AVE, SUITE 207, Perris, CA 92571-2605
- **Phone:** (951) 657-0544 · **Fax:** (951) 657-9644
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2012
- **Other identifiers:** Medicare PIN 020A60230 (CA); Medicaid E90354 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083851703) · Data from the CMS NPPES public registry.