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ASPEN MEDICAL GROUP, INC.
NPI 1578958047
Obstetrics & Gynecology in Moreno Valley, CA

Active since April 01, 2015CLIA 05D0574337 · Microscopy
11441 HEACOCK ST, SUITE B-1, MORENO VALLEY, CA 92557(951) 924-1906(951) 735-8560 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aspen Medical Group, Inc. NPPES

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

ASPEN MEDICAL GROUP, INC. (NPI 1578958047) is a healthcare organization registered as an obstetrics & gynecology in Moreno Valley, California and active in the NPI registry since April 2015. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Magdalen Ukachi Emeruwa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578958047
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameASPEN MEDICAL GROUP, INC.
Location Address11441 HEACOCK ST, SUITE B-1Moreno Valley, CA 92557-7907
Mailing Address341 Magnolia Ave, Suite 201Corona, CA 92879-3330 · (951) 735-6969
Phone(951) 924-1906
Fax(951) 735-8560
Organization SubpartNo
Authorized OfficialMagdalen Ukachi EmeruwaAdministrator · (951) 735-6969
Enumeration DateApril 1, 2015
Last NPPES UpdateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
✔ NPI 1578958047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysician AssistantTaxonomy 363A00000X
11441 HEACOCK ST, Moreno Valley, CA 92557
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Other Identifiers 1

OtherZZZ28499ZCA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 05D0574337

Aspen Medical Group, Inc · Moreno Valley, CA
Active · expires Aug 31, 2026
CLIA Number05D0574337
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorIheanacho, Emeruwa, MD
Laboratory Phone(951) 924-1906
Laboratory LocationAspen Medical Group, Inc11441 Heacock St B-1, Moreno Valley, CA 92557
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

DONG S. KIM, M.D., INC
Internal Medicine
11441 HEACOCK ST, STE. F
MORENO VALLEY, CA 92557
Riverside County (951) 243-8000
VISITH PRIROMPRINTR MD
Obstetrics & Gynecology
11441 HEACOCK ST, SUITE B1
MORENO VALLEY, CA 92557
Riverside County (951) 924-1906
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Pediatrics
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Riverside County (951) 247-5809
DR. JEFFREY TAYLOR OLSON M.D.
Internal Medicine
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Riverside County (951) 247-5809
BOG RYUL LEE L.A.C
Acupuncturist
11441 HEACOCK ST, SUITE #B2
MORENO VALLEY, CA 92557
Riverside County (951) 571-0075
SHREEJI HEALTHCARE INC
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST
MORENO VALLEY, CA 92557
Riverside County (909) 360-8352
CDA CLINICAL PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST, STE D
MORENO VALLEY, CA 92557
Riverside County (951) 242-2540
ONE ACUPUNCTURE CLINIC INC
Acupuncturist
11441 HEACOCK ST, STE B2
MORENO VALLEY, CA 92557
Riverside County (951) 601-0420

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 Aspen Medical Group, Inc.'s NPI number?

The NPI number for Aspen Medical Group, Inc. is 1578958047. It was assigned to this organization in the NPPES registry on April 1, 2015.

Where is Aspen Medical Group, Inc. located?

Aspen Medical Group, Inc. is located at 11441 Heacock St Suite B-1, Moreno Valley, CA 92557. The listed phone number is (951) 924-1906.

What is Aspen Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Aspen Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0574337) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aspen Medical Group, Inc. was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.