Individual provider Active NPI

Afeefa Ashfaq Konchwalla, MD

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1013590249
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A197121 Issued in CA
Practice address
1515 W Florida Ave
Hemet, CA 92543-3817
Phone
(951) 929-1333
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A197121 CA Primary

Addresses

Primary practice location

1515 W Florida Ave
Hemet, CA 92543-3817

Mailing address

1515 W Florida Ave
Hemet, CA 92543-3817
Phone (951) 929-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000625 CA Practitioner - Internal MedicinePractitioner - Family Practice 7416479639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Medical Group, Inc.Group PAC ID 4789091026, 14 clinicians

Practice addresses (Care Compare)

1515 W Florida Ave
Hemet, CA 92543-3817
Phone (951) 929-1333

Hospital & facility affiliations

  • Direct Provider of Healthcare Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 059415
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390
  • Menifee Global Medical Center Hospital, Sun City, CA, CCN 050684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A197121CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Medical Group Inc. Current Accepting new patients
Seven Star Medical Group Inc. Internal Medicine CurrentSince Mar 10, 2025 Accepting new patients
Seven Star Medical Group Inc. CurrentSince Mar 10, 2025 Accepting new patients
Seven Star Medical Group Inc. Past Accepting new patients

Locations

1515 W Florida Ave
Hemet, CA 92543
Phone (951) 929-1333

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1515 W Florida Ave
Ste E
Hemet, CA 92543
Phone (714) 658-3121

41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700

28400 McCall Blvd
Ste B10
Menifee, CA 92585
Phone (951) 414-2020

29826 Haun Rd
Menifee, CA 92586

29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: afeefa.konchwalla.p79@direct.kmsm.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1013590249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433817",
            "telephone_number": "951-929-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433817",
            "telephone_number": "951-929-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCHWALLA",
        "first_name": "AFEEFA",
        "middle_name": "ASHFAQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A197121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.