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WELLCARE VALLEY MEDICAL GROUP INC
NPI 1689473878
Internal Medicine in Granada Hills, CA

Active since March 10, 2025
10324 BALBOA BLVD STE 204, GRANADA HILLS, CA 91344(949) 324-8363 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2025, Mar 10, 2025 (2 updates tracked since 2025).

About Wellcare Valley Medical Group Inc NPPES

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

WELLCARE VALLEY MEDICAL GROUP INC (NPI 1689473878) is a healthcare organization registered as an internal medicine in Granada Hills, California and active in the NPI registry since March 2025. The organization lists Raquel Lacuesta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689473878
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLCARE VALLEY MEDICAL GROUP INC
Location Address10324 BALBOA BLVD STE 204Granada Hills, CA 91344-7349
Mailing Address10324 Balboa Blvd Ste 225Granada Hills, CA 91344-7349 · (747) 370-6986
Phone(949) 324-8363
Organization SubpartNo
Authorized OfficialRaquel LacuestaCeo · (747) 370-6986
Enumeration DateMarch 10, 2025
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1689473878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
10324 BALBOA BLVD STE 204, Granada Hills, CA 91344
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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)

Wellcare Valley Medical Group Inc 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 Wellcare Valley Medical Group Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Fidelia Nnachetam
Nurse Practitioner
NPI 1992156962
8611 CRENSHAW BLVD STE 210
Inglewood, CA 90305
(310) 910-8372
✔ PECOS✔ Accepts Medicare23 mi
Shura Moreno, MD
Internal Medicine
NPI 1174542716
4146 E OLYMPIC BLVD SUITE B
Los Angeles, CA 90023
(323) 262-9943
✔ PECOS✔ Accepts Medicare25 mi
Teresa Novales, NP
Nurse Practitioner
NPI 1932559853
2600 REDONDO AVE FL 3
Long Beach, CA 90806
(562) 256-2900
✔ PECOS✔ Accepts Medicare37 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 Wellcare Valley Medical Group Inc's NPI number?

The NPI number for Wellcare Valley Medical Group Inc is 1689473878. It was assigned to this organization in the NPPES registry on March 10, 2025.

Where is Wellcare Valley Medical Group Inc located?

Wellcare Valley Medical Group Inc is located at 10324 Balboa Blvd Ste 204, Granada Hills, CA 91344. The listed phone number is (949) 324-8363.

What is Wellcare Valley Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellcare Valley Medical Group Inc enrolled in Medicare?

Yes. Wellcare Valley Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellcare Valley Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wellcare Valley Medical Group 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellcare Valley Medical Group Inc was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.