Paul Angelo Advincula Rellora Jr.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95035514 Issued in CA

Practice address

39765 Date St Ste 102
Murrieta, CA 92563-2005

Phone

(951) 894-4665

Fax

(951) 894-5178

NPI assigned

Oct 28, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Healthcare Crossing Corporation

  dba Tri Valley Internal Medicine Group

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1518953298
  Medicare reassignment NPD

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1023986486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39765 DATE ST STE 102",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632005",
            "telephone_number": "951-894-4665",
            "fax_number": "951-894-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLORA",
        "first_name": "PAUL ANGELO",
        "middle_name": "ADVINCULA",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Jessica Reguly, DDS, MSD
• Rehabcare
• Kristy Reid
• Lance S Reinherz, MD
• Anneliese Reinhofer, OTD
• Gehrig Lou Remigio
• Malik Rencher
• Renewing Hope Family Counseling Center, Inc
• Jessica Rennich
• Deborah S. Reno-Smith, M.A.

• Family Nurse Practitioner in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.