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INNOVATEMED MEDICAL GROUP PC
NPI 1730871732
Family Medicine in Orange, CA

Active since May 26, 2023
615 E CHAPMAN AVE STE 300, ORANGE, CA 92866(714) 639-4012(714) 639-4018 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2024, Aug 14, 2023, Aug 8, 2023 and 2 more (5 updates tracked since 2023).

About Innovatemed Medical Group Pc NPPES

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

INNOVATEMED MEDICAL GROUP PC (NPI 1730871732), doing business as Orange Novacare Medical Group Pc, is a healthcare organization registered as a family medicine in Orange, California and active in the NPI registry since May 2023. The organization lists Arasi Prasad, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730871732
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATEMED MEDICAL GROUP PC
Location Address615 E CHAPMAN AVE STE 300Orange, CA 92866-1643
Mailing Address615 E Chapman Ave Ste 300Orange, CA 92866-1643
Phone(714) 639-4012
Fax(714) 639-4018
Organization SubpartNo
Authorized OfficialArasi PrasadAdministrator · (714) 639-4012
Enumeration DateMay 26, 2023
Last NPPES UpdateMarch 5, 20245 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1730871732 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.
615 E CHAPMAN AVE STE 300, Orange, CA 92866
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Other Names 1

Former Legal Business NameOrange Novacare Medical Group Pc

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)

Innovatemed Medical Group Pc 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 Innovatemed Medical Group PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Bryn Henderson, D.O.
Family Practice
NPI 1447296694
615 E CHAPMAN AVE
Orange, CA 92866
(714) 639-4012
✔ PECOS✔ Accepts MedicareSame address
John Farag, MD
Internal Medicine
NPI 1104983873
336 E HILLCREST BLVD SUITE 104
Inglewood, CA 90301
(310) 419-9999
✔ PECOS✔ Accepts Medicare31 mi
Nicholas Sieveking, MD
Plastic and Reconstructive Surgery
NPI 1548250434
204 23RD AVENUE NORTH
Nashville, TN 37203
(615) 321-1010
✔ PECOS1,761 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 Innovatemed Medical Group PC's NPI number?

The NPI number for Innovatemed Medical Group PC is 1730871732. It was assigned to this organization in the NPPES registry on May 26, 2023. The provider was formerly known as Orange Novacare Medical Group PC.

Where is Innovatemed Medical Group PC located?

Innovatemed Medical Group PC is located at 615 E Chapman Ave Ste 300, Orange, CA 92866. The listed phone number is (714) 639-4012.

What is Innovatemed Medical Group PC's specialty?

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

Is Innovatemed Medical Group PC enrolled in Medicare?

Yes. Innovatemed Medical Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovatemed Medical Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Innovatemed Medical Group PC, in Family Practice, Internal Medicine and Plastic and Reconstructive Surgery. 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, 1 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 Innovatemed Medical Group PC was last updated on March 5, 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.