SUPERIOR FAMILY MEDICAL GROUP INC
NPI 1568645653
Family Medicine in Newport Beach, CA

Q: What is Superior Family Medical Group Inc's NPI number?

The NPI number for Superior Family Medical Group Inc is 1568645653. It was assigned to this organization in the NPPES registry on December 11, 2007.

Q: What is Superior Family Medical Group Inc's specialty?

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

Active since December 11, 2007

1419 SUPERIOR AVE, 1, NEWPORT BEACH, CA 92663(949) 650-0587(949) 631-8155 Get Directions Write a Review

NPPES record last updated: April 2, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Superior Family Medical Group Inc NPPES

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

SUPERIOR FAMILY MEDICAL GROUP INC (NPI 1568645653) is a healthcare organization registered as a family medicine in Newport Beach, California and active in the NPI registry since December 2007. The organization lists Rafael Rafael Penunuri, President, as its authorized official.

NPPES Registry Identity

NPI1568645653

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUPERIOR FAMILY MEDICAL GROUP INC

Location Address1419 SUPERIOR AVE, 1Newport Beach, CA 92663-2723

Mailing Address1419 Superior Ave, 1Newport Beach, CA 92663-2723 · (949) 650-0587 · Fax (949) 631-8155

Phone(949) 650-0587

Fax(949) 631-8155

Organization SubpartNo

Authorized OfficialRafael Rafael PenunuriPresident · (949) 650-0587

Enumeration DateDecember 11, 2007

Last NPPES UpdateApril 2, 2009

✔ NPI 1568645653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1419 SUPERIOR AVE, Newport Beach, CA 92663

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Other Identifiers 1

Medicare PINW10009CA

Group Practice 1

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)

Superior Family Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Superior Family Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rafael Penunuri, M.D.

Internal Medicine

NPI 1831270362

1419 SUPERIOR AVE STE#1
Newport Beach, CA 92663

(949) 650-0587

✔ PECOS✔ Accepts MedicareSame address

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 Superior Family Medical Group Inc's NPI number?

The NPI number for Superior Family Medical Group Inc is 1568645653. It was assigned to this organization in the NPPES registry on December 11, 2007.

Where is Superior Family Medical Group Inc located?

Superior Family Medical Group Inc is located at 1419 Superior Ave 1, Newport Beach, CA 92663. The listed phone number is (949) 650-0587.

What is Superior Family Medical Group Inc's specialty?

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

Is Superior Family Medical Group Inc enrolled in Medicare?

Yes. Superior Family Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Superior Family Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Superior Family 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 Superior Family Medical Group Inc was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.