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SAN LUIS REY MEDICAL GROUP
NPI 1689117137
Internal Medicine - Hospice and Palliative Medicine in Temecula, CA

Active since November 30, 2016
27710 JEFFERSON AVE STE 207, TEMECULA, CA 92590(833) 668-6676(866) 299-8639 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Luis Rey Medical Group NPPES

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

SAN LUIS REY MEDICAL GROUP (NPI 1689117137) is a healthcare organization registered as a hospice and palliative medicine in Temecula, California and active in the NPI registry since November 2016. The organization lists Angela Mouton, Sr Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1689117137
Entity TypeOrganization
Primary Taxonomy207RH0002X
Legal Business NameSAN LUIS REY MEDICAL GROUP
Location Address27710 JEFFERSON AVE STE 207Temecula, CA 92590-4604
Mailing Address6400 Oak Cyn, Suite 200Irvine, CA 92618-5203 · (858) 229-6156
Phone(833) 668-6676
Fax(866) 299-8639
Organization SubpartNo
Authorized OfficialAngela MoutonSr Vp Operations · (949) 240-7200
Enumeration DateNovember 30, 2016
Last NPPES UpdateJuly 19, 2024
NPPES CertifiedJuly 19, 2024
✔ NPI 1689117137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
27710 JEFFERSON AVE STE 207, Temecula, CA 92590
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Luis Rey Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to San Luis Rey Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Christina Braunworth, APRN
Nurse Practitioner
NPI 1831794023
27710 JEFFERSON AVE STE 200
Temecula, CA 92590
(951) 394-0959
✔ PECOS✔ Accepts MedicareSame address
Melissa Ha, FNP-C
Nurse Practitioner
NPI 1265167555
27710 JEFFERSON AVE STE 200
Temecula, CA 92590
(888) 491-0049
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Newman, M.D.
Family Practice
NPI 1922082189
31457 LAKE VISTA CIR
Bonsall, CA 92003
(760) 941-8888
✔ PECOS✔ Accepts Medicare16 mi
Loren Novak, D.O.
Family Practice
NPI 1689601270
1926 VIA CTR
Vista, CA 92081
(760) 598-1700
✔ PECOS✔ Accepts Medicare24 mi
Margaret Dawson, BSW
Clinical Social Worker
NPI 1871942268
1901 E 4TH ST SUITE 312
Santa Ana, CA 92705
(714) 972-3700
✔ PECOS✔ Accepts Medicare43 mi
Martha Hughes, LCSW
Clinical Social Worker
NPI 1013658905
700 W LA VETA AVE UNIT O20
Orange, CA 92868
(714) 394-3579
✔ PECOS✔ Accepts Medicare44 mi
Orlando Manzano, MSN, APRN, NP-C
Nurse Practitioner
NPI 1528672532
4077 FIFTH AVE
San Diego, CA 92103
(619) 260-7240
✔ PECOS✔ Accepts Medicare52 mi
Anil Hanuman, D,O.
Hospitalist
NPI 1023101813
100 W CALIFORNIA BLVD
Pasadena, CA 91105
(626) 397-8300
✔ PECOS✔ Accepts Medicare71 mi
Eliza Yaccobe, NP
Nurse Practitioner
NPI 1487943551
10780 SANTA MONICA BLVD STE 320
Los Angeles, CA 90025
(424) 320-4884
✔ PECOS✔ Accepts Medicare82 mi

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 San Luis Rey Medical Group's NPI number?

The NPI number for San Luis Rey Medical Group is 1689117137. It was assigned to this organization in the NPPES registry on November 30, 2016.

Where is San Luis Rey Medical Group located?

San Luis Rey Medical Group is located at 27710 Jefferson Ave Ste 207, Temecula, CA 92590. The listed phone number is (833) 668-6676.

What is San Luis Rey Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is San Luis Rey Medical Group enrolled in Medicare?

Yes. San Luis Rey Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Luis Rey Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to San Luis Rey 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 (4), Clinical Social Worker (2) and Family Practice (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Luis Rey Medical Group was last updated on July 19, 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.