INNOVATIVE EXTENSIVIST GROUP PC
NPI 1770467888
Internal Medicine in Temecula, CA

Q: What is Innovative Extensivist Group PC's NPI number?

The NPI number for Innovative Extensivist Group PC is 1770467888. It was assigned to this organization in the NPPES registry on August 1, 2025.

Q: What is Innovative Extensivist Group PC's specialty?

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

Active since August 01, 2025

44045 MARGARITA RD STE 101, TEMECULA, CA 92592(951) 880-0701(951) 904-3647 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Innovative Extensivist Group Pc NPPES

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

INNOVATIVE EXTENSIVIST GROUP PC (NPI 1770467888) is a healthcare organization registered as an internal medicine in Temecula, California and active in the NPI registry since August 2025. The organization lists Alma Torres, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1770467888

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameINNOVATIVE EXTENSIVIST GROUP PC

Location Address44045 MARGARITA RD STE 101Temecula, CA 92592-2729

Mailing Address44045 Margarita Rd Ste 101Temecula, CA 92592-2729 · (951) 880-0701 · Fax (951) 904-3647

Phone(951) 880-0701

Fax(951) 904-3647

Organization SubpartNo

Authorized OfficialAlma TorresCredentialing Manager · (951) 800-8330

Enumeration DateAugust 1, 2025

Last NPPES UpdateAugust 12, 2025

NPPES CertifiedAugust 12, 2025

✔ NPI 1770467888 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

44045 MARGARITA RD STE 101, Temecula, CA 92592

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Extensivist Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Innovative Extensivist Group PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Richard Jin, M.D.

Internal Medicine

NPI 1053754366

31700 TEMECULA PKWY
Temecula, CA 92592

(951) 303-8939

✔ PECOS✔ Accepts Medicare0.2 mi

Amelia Lynn Henninger, MD

Internal Medicine

NPI 1932634805

400 N PEPPER AVE
Colton, CA 92324

(909) 580-1000

✔ PECOS✔ Accepts Medicare43 mi

David Sea Jong Chang, MD

Family Practice

NPI 1740849066

91275 66TH STREET SUITE 500
Mecca, CA 92254

(760) 396-1249

✔ PECOS60 mi

Sanjay Muttreja, MD

Hospitalist

NPI 1447201173

10 WOODLAND RD
Saint Helena, CA 94574

(707) 963-6399

✔ PECOS✔ Accepts Medicare460 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 Innovative Extensivist Group PC's NPI number?

The NPI number for Innovative Extensivist Group PC is 1770467888. It was assigned to this organization in the NPPES registry on August 1, 2025.

Where is Innovative Extensivist Group PC located?

Innovative Extensivist Group PC is located at 44045 Margarita Rd Ste 101, Temecula, CA 92592. The listed phone number is (951) 880-0701.

What is Innovative Extensivist Group PC's specialty?

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

Is Innovative Extensivist Group PC enrolled in Medicare?

Yes. Innovative Extensivist Group PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Extensivist Group PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Innovative Extensivist Group PC, in Family Practice, Hospitalist and Internal Medicine. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Extensivist Group PC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.