PRO VITAL MEDICAL GROUP, INC
NPI 1134927858
Clinic/Center - Primary Care in Corona, CA

Active since March 06, 2025
1245 W 6TH ST UNIT 105, CORONA, CA 92882(909) 284-9942(909) 284-9943 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 19, 2026, Mar 6, 2025 (2 updates tracked since 2025).

About Pro Vital Medical Group, Inc NPPES

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

PRO VITAL MEDICAL GROUP, INC (NPI 1134927858) is a healthcare organization registered as a primary care in Corona, California and active in the NPI registry since March 2025. The organization lists Mohammad Qureashi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134927858
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePRO VITAL MEDICAL GROUP, INC
Location Address1245 W 6TH ST UNIT 105Corona, CA 92882-1870
Mailing Address1245 W 6th St Unit 105Corona, CA 92882-1870 · (909) 284-9942 · Fax (909) 284-9943
Fax(909) 284-9943
Organization SubpartNo
Authorized OfficialMohammad QureashiMedical Director · (909) 284-9942
Enumeration DateMarch 6, 2025
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1134927858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1245 W 6TH ST UNIT 105, Corona, CA 92882

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 Pro Vital Medical Group, Inc's NPI number?

The NPI number for Pro Vital Medical Group, Inc is 1134927858. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Pro Vital Medical Group, Inc located?

Pro Vital Medical Group, Inc is located at 1245 W 6th St Unit 105, Corona, CA 92882. The listed phone number is (909) 284-9942.

What is Pro Vital Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pro Vital Medical Group, Inc was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.