Richard C Jin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A134306 Issued in CA

Practice address

31700 Temecula Pkwy
Temecula, CA 92592-5896

Phone

(951) 303-8939

NPI assigned

Apr 17, 2013

Sex

Male

Sole proprietor

Yes

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Innovative Medical GroupGroup PAC ID 1759797251, 9 clinicians

Temecula Valley Hospitalist Medical Group IncGroup PAC ID 8224252630, 26 clinicians

Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Innovative Extensivist Group PCGroup PAC ID 4981106911, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excellence Home Health Provider, Inc Home health agency, Los Alamitos, CA, CCN 059389
• Lorian Health Home health agency, Riverside, CA, CCN 059464
• Advance Specialty Care South, Inc. Home health agency, Garden Grove, CA, CCN 053139
• Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
• Temecula Healthcare Center Nursing home, Temecula, CA, CCN 555923
• Murrieta Health and Rehabilitation Center Nursing home, Murrieta, CA, CCN 555747

Merit-based Incentive Payment System (MIPS)

Final score

95.02 of 100Reported as group

Improvement activities

40

Cost

70.05

Merit-based Incentive Payment System (MIPS)

Final score

3 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

10

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Improvement activities

40

Cost

84.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Innovative Wound Solutions Inc

  • Health Service Clinic/Center
  • Temecula, CA
  • NPI 1194517482

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Innovative Extensivist Group PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1770467888
  Medicare reassignment Care Compare group NPD
• Innovative Medical Group

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1003407735
  Medicare reassignment Care Compare group NPD
• Innovative Medical Specialties Inc

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1962390583
  Medicare reassignment NPD Authorized official
• Temecula Valley Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1265874135
  Medicare reassignment Care Compare group NPD
• Corona Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1477832871
  Medicare reassignment NPD
• Cellum Biomedical Inc.

  • Clinical Medical Laboratory
  • Temecula, CA
  • NPI 1912522723
  NPD (past)
• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  NPD (past)

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

• Advance Specialty Care South, Inc.

  • Home Health Agency
  • Garden Grove, CA
  • NPI 1417332057
  Care Compare affiliation
• Ag Murrieta SNF, LLC

  • Skilled Nursing Facility
  • Murrieta, CA
  • NPI 1174517650

  Nursing home

  Care Compare affiliation
• Excellence Home Health Provider Inc

  • Home Health Agency
  • Los Alamitos, CA
  • NPI 1114161445
  Care Compare affiliation
• GHC of Tem-SNF, LLC

  • Skilled Nursing Facility
  • Temecula, CA
  • NPI 1881210847

  Nursing home

  Care Compare affiliation
• Lorian Health

  • Home Health Agency
  • Riverside, CA
  • NPI 1578882833
  Care Compare affiliation
• Temecula Valley Hospital Inc

  • General Acute Care Hospital
  • Temecula, CA
  • NPI 1679816201
  Care Compare affiliation
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1053754366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 1430",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910771430",
            "telephone_number": "626-447-0296",
            "fax_number": "626-623-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925896",
            "telephone_number": "951-303-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Avila Jimenez
• Jesus Adrian Jimenez
• Joshua Jimenez
• Raylene Blaze Jimenez
• Rio Jimenez
• JJ Kemp Enterprises
• Caralie Jodlowski, LMFT
• Jessica Hope Johanson
• John G Ellis MD Inc
• John P. Santoro, D.P.M.

• 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 Jun 16, 2018; 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.