MORENO VALLEY COMMUNITY MEDICAL GROUP
NPI 1437595873
Clinic/Center - Multi-Specialty in Moreno Valley, CA

Q: What is Moreno Valley Community Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since May 13, 2013CLIA 05D2240625 · Waiver

23180 HEMLOCK AVE STE 201, MORENO VALLEY, CA 92557(951) 243-6460(951) 243-5871 Get Directions Write a Review

NPPES record last updated: April 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2022, Dec 29, 2021, Sep 15, 2021 and 3 more (6 updates tracked since 2015).

On this page

About Moreno Valley Community Medical Group NPPES

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

MORENO VALLEY COMMUNITY MEDICAL GROUP (NPI 1437595873) is a healthcare organization registered as a multi-specialty in Moreno Valley, California and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Joel A Pengson, Owner, as its authorized official.

NPPES Registry Identity

NPI1437595873

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameMORENO VALLEY COMMUNITY MEDICAL GROUP

Location Address23180 HEMLOCK AVE STE 201Moreno Valley, CA 92557-8001

Mailing AddressPo Box 220Moreno Valley, CA 92556-0220 · (951) 243-6460 · Fax (951) 243-5871

Phone(951) 243-6460

Fax(951) 243-5871

Organization SubpartNo

Authorized OfficialJoel A PengsonOwner · (951) 243-6460

Enumeration DateMay 13, 2013

Last NPPES UpdateApril 23, 20226 updates tracked since enumeration

NPPES CertifiedApril 23, 2022

✔ NPI 1437595873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X

Also ListedPharmacist · PharmacotherapyTaxonomy 1835P1200X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

23180 HEMLOCK AVE STE 201, Moreno Valley, CA 92557

Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 05D2240625

Moreno Valley Community Medical Group · Moreno Valley, CA

Active · expires Oct 19, 2027

CLIA Number05D2240625

Laboratory TypePhysician Office

Certificate Effective DateOctober 20, 2025

Certificate Expiration DateOctober 19, 2027

Laboratory DirectorJoel Pengson

Laboratory Phone(951) 243-6460

Laboratory LocationMoreno Valley Community Medical Group23180 Hemlock Ave Suite 201, Moreno Valley, CA 92557

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ALGOS INC., A MEDICAL CORPORATION

Pain Medicine (Pain Medicine)