ABUNDANT HEALTH
NPI 1669291316
Family Medicine in Temecula, CA

Active since October 09, 2024CLIA 05D2322752 · Waiver
27450 YNEZ RD STE 128, TEMECULA, CA 92591(951) 383-4333 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Abundant Health NPPES

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

ABUNDANT HEALTH (NPI 1669291316) is a healthcare organization registered as a family medicine in Temecula, California and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Michelle Christine Myers, Assistant Office Manager, as its authorized official.

NPPES Registry Identity

NPI1669291316
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameABUNDANT HEALTH MEDICAL INC
Location Address27450 YNEZ RD STE 128Temecula, CA 92591-4680
Mailing Address27450 Ynez Rd Ste 128Temecula, CA 92591-4680 · (951) 383-4333
Organization SubpartNo
Authorized OfficialMichelle Christine MyersAssistant Office Manager · (951) 383-4333
Enumeration DateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1669291316 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.
27450 YNEZ RD STE 128, Temecula, CA 92591

Other Names 1

Doing Business AsAbundant Health

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)

Abundant Health 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 Abundant Health, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1225291727
27450 YNEZ RD STE 100
Temecula, CA 92591
(951) 383-4333
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104756691
27450 YNEZ RD STE 128
Temecula, CA 92591
(951) 331-4020
✔ PECOSSame address
Nurse Practitioner
NPI 1770834871
403 STATE HIGHWAY 110 N
Whitehouse, TX 75791
(903) 202-7002
✔ PECOS✔ Accepts Medicare1,276 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 05D2322752

Abundant Health Medical Inc · Temecula, CA
Active · expires Apr 24, 2027
CLIA Number05D2322752
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorJonathan Vellinga
Laboratory Phone(951) 331-4020
Laboratory LocationAbundant Health Medical Inc27450 Ynez Rd #128, Temecula, CA 92591
CLIA data matches this NPI record on: Name
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 Abundant Health Medical Inc's NPI number?

The NPI number for Abundant Health Medical Inc is 1669291316. It was assigned to this organization in the NPPES registry on October 9, 2024. The provider is doing business as Abundant Health.

Where is Abundant Health Medical Inc located?

Abundant Health Medical Inc is located at 27450 Ynez Rd Ste 128, Temecula, CA 92591. The listed phone number is (951) 383-4333.

What is Abundant Health Medical Inc's specialty?

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

Is Abundant Health Medical Inc enrolled in Medicare?

Yes. Abundant Health Medical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Abundant Health Medical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Abundant Health Medical Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Abundant Health Medical Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2322752) is associated with this NPI, valid through April 24, 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 Abundant Health Medical Inc was last updated on October 9, 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.