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

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: October 25, 2026.

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

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
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Moreno Valley Community Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Moreno Valley Community Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Shamjana Acharya, NURSE PRACTITIONER
Nurse Practitioner
NPI 1811616642
23180 HEMLOCK AVE
Moreno Valley, CA 92557
(951) 243-6460
✔ PECOS✔ Accepts MedicareSame address
Mallory David, NP
Nurse Practitioner
NPI 1639925399
23180 HEMLOCK AVE STE 200
Moreno Valley, CA 92557
(951) 221-3988
✔ PECOS✔ Accepts MedicareSame address
Allan Elarmo, NP
Nurse Practitioner
NPI 1659705689
23180 HEMLOCK AVE STE 201
Moreno Valley, CA 92557
(951) 243-6460
✔ PECOS✔ Accepts MedicareSame address
Rosalyn Elarmo, FNP-C
Nurse Practitioner
NPI 1922432954
23180 HEMLOCK AVE STE 201
Moreno Valley, CA 92557
(951) 243-6460
✔ PECOSSame address
Joel Pengson, MD
Internal Medicine
NPI 1720018237
23180 HEMLOCK AVE STE 201
Moreno Valley, CA 92557
(951) 243-6460
✔ PECOS✔ Accepts MedicareSame address
Georgina Villacorta, NURSE PRACTITIONER
Nurse Practitioner
NPI 1174192512
8070 JURUPA AVENUE
Riverside, CA 92506
(155) 499-1933
✔ PECOS7.7 mi
Humera Rana, M.D.
Internal Medicine
NPI 1801982632
11705 SLATE AVE #200
Riverside, CA 92505
(800) 274-3893
✔ PECOS✔ Accepts Medicare14 mi

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

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.

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 Moreno Valley Community Medical Group's NPI number?

The NPI number for Moreno Valley Community Medical Group is 1437595873. It was assigned to this organization in the NPPES registry on May 13, 2013.

Where is Moreno Valley Community Medical Group located?

Moreno Valley Community Medical Group is located at 23180 Hemlock Ave Ste 201, Moreno Valley, CA 92557. The listed phone number is (951) 243-6460.

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.

Is Moreno Valley Community Medical Group enrolled in Medicare?

Yes. Moreno Valley Community Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Moreno Valley Community Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Moreno Valley Community Medical Group. 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 (5) and Internal Medicine (2). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Moreno Valley Community Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2240625) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Moreno Valley Community Medical Group was last updated on April 23, 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.