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INNOVATIVE NEUROLOGY
NPI 1104434075
Psychiatry & Neurology - Neurology in Murrieta, CA

Active since July 16, 2020
24671 MONROE AVE # C102, MURRIETA, CA 92562(951) 797-4446(833) 989-2495 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 15, 2021, Jul 16, 2020 (2 updates tracked since 2020).

About Innovative Neurology NPPES

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

INNOVATIVE NEUROLOGY (NPI 1104434075) is a healthcare organization registered as a neurology in Murrieta, California and active in the NPI registry since July 2020. The organization maintains a secondary practice location in Murrieta and lists Janice Raquel Fuentes, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104434075
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameINNOVATIVE NEUROLOGY, INC.
Location Address24671 MONROE AVE # C102Murrieta, CA 92562-9589
Mailing Address24671 Monroe Ave # C102Murrieta, CA 92562-9589 · (951) 797-4446 · Fax (833) 989-2495
Phone(951) 797-4446
Fax(833) 989-2495
Organization SubpartNo
Authorized OfficialJanice Raquel FuentesAuthorized Official · (619) 306-1127
Enumeration DateJuly 16, 2020
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
✔ NPI 1104434075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
24671 MONROE AVE # C102, Murrieta, CA 92562
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Other Names 1

Other NameInnovative Neurology

Secondary Practice Location 1

Location 138860 Sky Canyon Dr Bldg AMurrieta, CA 92563-2518 · Phone (442) 777-5920 · Fax (951) 466-2744

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Innovative Neurology, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ricardo Olivo, M.D.
Neurology
NPI 1154647014
24671 MONROE AVE STE C102
Murrieta, CA 92562
(951) 797-4446
✔ PECOS✔ Accepts MedicareSame address
Silvana Dulanto, FNP
Nurse Practitioner
NPI 1831975069
24671 MONROE AVE # C-102
Murrieta, CA 92562
(951) 797-4446
✔ PECOSSame address
Janice Fuentes, MD
Neurology
NPI 1053637918
24671 MONROE AVE # C102
Murrieta, CA 92562
(951) 797-4446
✔ PECOS✔ Accepts MedicareSame address

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

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 Neurology, Inc.'s NPI number?

The NPI number for Innovative Neurology, Inc. is 1104434075. It was assigned to this organization in the NPPES registry on July 16, 2020. The provider is also known as Innovative Neurology.

Where is Innovative Neurology, Inc. located?

Innovative Neurology, Inc. is located at 24671 Monroe Ave # C102, Murrieta, CA 92562. The listed phone number is (951) 797-4446.

What is Innovative Neurology, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Innovative Neurology, Inc. enrolled in Medicare?

Yes. Innovative Neurology, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Neurology, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Innovative Neurology, Inc., in Neurology and Nurse Practitioner. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Neurology, Inc. was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.