MORONGO MEDICAL GROUP INC
NPI 1972644516
Internal Medicine in Yucca Valley, CA
About Morongo Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MORONGO MEDICAL GROUP INC (NPI 1972644516) is a healthcare organization registered as an internal medicine in Yucca Valley, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through May 20, 2028, maintains a secondary practice location in Twentynine Palms, and lists Prem P Salhotra, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Morongo Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Morongo Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0915222
Morongo Medical Group Inc · Yucca Valley, CAFrequently 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 Morongo Medical Group Inc's NPI number?
The NPI number for Morongo Medical Group Inc is 1972644516. It was assigned to this organization in the NPPES registry on February 8, 2007.
Where is Morongo Medical Group Inc located?
Morongo Medical Group Inc is located at 57725 29 Palms Hwy Ste 401, Yucca Valley, CA 92284. The listed phone number is (760) 228-1929.
What is Morongo Medical Group Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Morongo Medical Group Inc enrolled in Medicare?
Yes. Morongo Medical Group Inc is registered in the Medicare PECOS enrollment system.
When is Morongo Medical Group Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Morongo Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Morongo 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Morongo Medical Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0915222) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Morongo Medical Group Inc was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Morongo Medical Group Inc · NPI 1972644516
Internal Medicine organization in Yucca Valley, California. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1972644516 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Prem Salhotra, PRESIDENT
## Practice location
- **Address:** 57725 29 PALMS HWY, STE 401, Yucca Valley, CA 92284-3044
- **Phone:** (760) 228-1929 · **Fax:** (760) 228-9633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2021
- **Other identifiers:** Other CE7451 (CA); Other ZZ53804AZ (CA); Medicaid GR0078500 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1972644516) · Data from the CMS NPPES public registry.