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LIFE HEALTH CARE MEDICAL GROUP INC
NPI 1417685355
Family Medicine in Santa Ana, CA

Active since August 09, 2022
505 N TUSTIN AVE STE 190, SANTA ANA, CA 92705(714) 784-5433(714) 784-5438 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Health Care Medical Group Inc NPPES

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

LIFE HEALTH CARE MEDICAL GROUP INC (NPI 1417685355) is a healthcare organization registered as a family medicine in Santa Ana, California and active in the NPI registry since August 2022. The organization lists Rafael Arturo Penunuri, Md, as its authorized official.

NPPES Registry Identity

NPI1417685355
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLIFE HEALTH CARE MEDICAL GROUP INC
Location Address505 N TUSTIN AVE STE 190Santa Ana, CA 92705-3777
Mailing Address505 N Tustin Ave Ste 190Santa Ana, CA 92705-3777 · (714) 784-5433 · Fax (714) 784-5438
Phone(714) 784-5433
Fax(714) 784-5438
Organization SubpartNo
Authorized OfficialRafael Arturo PenunuriMd · (714) 784-5433
Enumeration DateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1417685355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
505 N TUSTIN AVE STE 190, Santa Ana, CA 92705
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Health Care Medical Group Inc 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 Life Health Care Medical Group Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Rafael Penunuri, M.D.
Internal Medicine
NPI 1831270362
1419 SUPERIOR AVE STE#1
Newport Beach, CA 92663
(949) 650-0587
✔ PECOS✔ Accepts Medicare10 mi
Michael Wensley, M.D.
Internal Medicine
NPI 1841336740
1356 N FAIRFAX AVE
West Hollywood, CA 90046
(323) 876-8369
✔ PECOS✔ Accepts Medicare39 mi
Nadia Akhlaq, M.D
Internal Medicine
NPI 1770900805
1411 E 31ST ST
Oakland, CA 94602
(510) 437-4800
✔ PECOS✔ Accepts Medicare373 mi

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 Life Health Care Medical Group Inc's NPI number?

The NPI number for Life Health Care Medical Group Inc is 1417685355. It was assigned to this organization in the NPPES registry on August 9, 2022.

Where is Life Health Care Medical Group Inc located?

Life Health Care Medical Group Inc is located at 505 N Tustin Ave Ste 190, Santa Ana, CA 92705. The listed phone number is (714) 784-5433.

What is Life Health Care Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Life Health Care Medical Group Inc enrolled in Medicare?

Yes. Life Health Care Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Health Care Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Life Health Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Health Care Medical Group Inc was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.