LAKE ELSINORE CLINICA MEDICA FAMILIAR
NPI 1851625396
Family Medicine in Lake Elsinore, CA

Active since October 01, 2009
31739 RIVERSIDE DR, SUITE A-1, LAKE ELSINORE, CA 92530(951) 245-0505(951) 245-0999 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake Elsinore Clinica Medica Familiar NPPES

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

LAKE ELSINORE CLINICA MEDICA FAMILIAR (NPI 1851625396) is a healthcare organization registered as a family medicine in Lake Elsinore, California and active in the NPI registry since October 2009. The organization lists Octavio Ruiz-villalpando, President, as its authorized official.

NPPES Registry Identity

NPI1851625396
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE ELSINORE CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Location Address31739 RIVERSIDE DR, SUITE A-1Lake Elsinore, CA 92530-7818
Mailing Address31739 Riverside Dr, Suite A-1Lake Elsinore, CA 92530-7818 · (951) 245-0505 · Fax (951) 245-0999
Fax(951) 245-0999
Organization SubpartNo
Authorized OfficialOctavio Ruiz-villalpandoPresident · (951) 245-0505
Enumeration DateOctober 1, 2009
✔ NPI 1851625396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92039
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.
31739 RIVERSIDE DR, Lake Elsinore, CA 92530

Other Names 1

Doing Business AsLake Elsinore Clinica Medica Familiar

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)

Lake Elsinore Clinica Medica Familiar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lake Elsinore Clinica Medica Familiar, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1194832816
735 S D ST
Perris, CA 92570
(951) 657-3177
✔ PECOS✔ Accepts Medicare11 mi
Osteopathic Manipulative Medicine
NPI 1235355942
8283 GROVE AVE STE 202
Rancho Cucamonga, CA 91730
(909) 527-4909
✔ PECOS✔ Accepts Medicare33 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 Lake Elsinore Clinica Medica Familiar A Medical Corporation's NPI number?

The NPI number for Lake Elsinore Clinica Medica Familiar A Medical Corporation is 1851625396. It was assigned to this organization in the NPPES registry on October 1, 2009. The provider is doing business as Lake Elsinore Clinica Medica Familiar.

Where is Lake Elsinore Clinica Medica Familiar A Medical Corporation located?

Lake Elsinore Clinica Medica Familiar A Medical Corporation is located at 31739 Riverside Dr Suite A-1, Lake Elsinore, CA 92530. The listed phone number is (951) 245-0505.

What is Lake Elsinore Clinica Medica Familiar A Medical Corporation's specialty?

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

Is Lake Elsinore Clinica Medica Familiar A Medical Corporation enrolled in Medicare?

Yes. Lake Elsinore Clinica Medica Familiar A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Elsinore Clinica Medica Familiar A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lake Elsinore Clinica Medica Familiar A Medical Corporation, in Family Practice and Osteopathic Manipulative 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lake Elsinore Clinica Medica Familiar A Medical Corporation was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.