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PERRIS VALLEY MEDICAL GROUP, INC.
NPI 1083851703
Family Medicine in Perris, CA

Active since January 16, 2009CLIA 05D0958503 · Waiver
126 AVOCADO AVE, SUITE 207, PERRIS, CA 92571(951) 657-0544(951) 657-9644 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1083851703
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePERRIS VALLEY MEDICAL GROUP, INC.
Location Address126 AVOCADO AVE, SUITE 207Perris, CA 92571-2605
Mailing Address126 Avocado Ave, Suite 207Perris, CA 92571-2605 · (951) 657-0544 · Fax (951) 657-9644
Phone(951) 657-0544
Fax(951) 657-9644
Organization SubpartNo
Authorized OfficialGeorge VillanuevaPresident · (951) 657-0544
Enumeration DateJanuary 16, 2009
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1083851703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6023
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.
126 AVOCADO AVE, Perris, CA 92571
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Other Identifiers 2

Medicare PIN020A60230CA
MedicaidE90354CA

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

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, CA
Active · expires Jul 31, 2027
CLIA Number05D0958503
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorGeorge Villanueva Do
Laboratory Phone(909) 657-0544
Laboratory LocationPerris Valley Medical Group, Inc126 Avocado Street Suite 207, Perris, CA 92571
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 10

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

RANCHO PHYSICAL THERAPY, INC.
Physical Therapist
126 AVOCADO AVE, STE 107
PERRIS, CA 92571
Riverside County (951) 943-8105
MS. DONNA MARIE HEFNER PA
Physician Assistant
126 AVOCADO AVE, STE 106
PERRIS, CA 92571
Riverside County (951) 943-7212
DANG M NGO DPT
Physical Therapist
126 AVOCADO AVE, SUITE 107
PERRIS, CA 92571
Riverside County (951) 943-8105
BRIAN ALAN SMITH MPT
Physical Therapist
126 AVOCADO AVE, SUITE 107
PERRIS, CA 92571
Riverside County (951) 943-8105
AVOCADO MEDICAL CLINIC PROFESSIONAL CORP
Clinic/Center
126 AVOCADO AVE
PERRIS, CA 92571
Riverside County (951) 943-7212
MS. DIANA ROSE IRVING MSW, LCSW
Social Worker (Clinical)
126 AVOCADO AVE, SUITE 103
PERRIS, CA 92571
Riverside County (951) 392-0632
JOSE DE JESUS ALVAREZ PT, DPT,OCS
Physical Therapist
126 AVOCADO AVE, SUITE 107
PERRIS, CA 92571
Riverside County (951) 943-8105
DANIEL'S PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
126 AVOCADO AVE, SUITE 101
PERRIS, CA 92571
Riverside County (951) 943-6300

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 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.

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.