PRO VITAL MEDICAL GROUP, INC
NPI 1134927858
Clinic/Center - Primary Care in Corona, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pro Vital Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pro Vital Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 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.
Is Pro Vital Medical Group, Inc enrolled in Medicare?
Yes. Pro Vital Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pro Vital Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Pro Vital 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. The largest specialties are Nurse Practitioner (3) and Hospitalist (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# Pro Vital Medical Group, Inc · NPI 1134927858
Primary Care organization in Corona, California. Organization record, active in the CMS NPPES registry since March 6, 2025.
## Identity
- **NPI:** 1134927858 (Entity type: Organization)
- **Enumerated:** March 6, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mohammad Qureashi, MEDICAL DIRECTOR
## Practice location
- **Address:** 1245 W 6TH ST UNIT 105, Corona, CA 92882-1870
- **Phone:** (909) 284-9942 · **Fax:** (909) 284-9943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Hospitalist (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134927858) · Data from the CMS NPPES public registry.