Innovative Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INNOVATIVE MEDICAL GROUP

Practice address

44045 Margarita Rd Ste 103
Temecula, CA 92592-2729

Phone

(951) 880-0701

Fax

(951) 904-3647

NPI assigned

Jan 26, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alma Torres

Title

Director Credentialing

Phone

(951) 880-0701

Specialties & licenses 1

Addresses

Other names 1

• INNOVATIVE MEDICAL GROUP TEMECULA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Jennifer Del Valle, PA

  • Medical Physician Assistant
  • Hemet, CA
  • NPI 1003188368
  Medicare reassignment Care Compare group NPD
• Samiollah Gholam, M.D

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1326457904
  Medicare reassignment Care Compare group NPD
• Amelia Lynn Henninger, MD

  • Internal Medicine Physician
  • Colton, CA
  • NPI 1932634805
  Medicare reassignment Care Compare group NPD
• Richard C Jin, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1053754366
  Medicare reassignment Care Compare group NPD
• Christine Yang Ko, MD

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1265466551
  Medicare reassignment Care Compare group NPD
• Sanjay Prakash Muttreja, MD

  • Hospitalist Physician
  • Saint Helena, CA
  • NPI 1447201173

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Cynthia Recinto, M.D.

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1750486015
  Medicare reassignment Care Compare group NPD
• Rodalyn Ulep Brown, FNP

  • Nurse Practitioner
  • Carlsbad, CA
  • NPI 1184163206
  Medicare reassignment Care Compare group
• Haena Min

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1437387792
  Medicare reassignment Care Compare group
• Ronald Mar Tenorio Atillo, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • San Diego, CA
  • NPI 1346747391
  Medicare reassignment NPD
• Kirk Anthony Hall, FNP

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1710406848
  Medicare reassignment NPD
• Shawn Mo, DO

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1033679873
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1003407735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-517-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-880-0701",
            "fax_number": "951-904-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING",
        "authorized_official_telephone_number": "951-880-0701"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE MEDICAL GROUP TEMECULA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inland Urgent Care a Medical Corporation
• Inland Valley Retina Medical Associates, Inc
• Inland Valley Surgery Center, LLC
• Inner Sol Therapy Licensed Clinical Social Worker Co Inc
• Innovative Extensivist Group PC
• Innovative Medical Specialties Inc
• Innovative Pain Treatment Surgery Center of Temecula, Inc.
• Innovative Wound Solutions Inc
• Inpatient Physicians Network Inc
• Integarted Psychiatry Associates

• Internal Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.