Moreno Valley Physicians Associates, a Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MORENO VALLEY PHYSICIANS ASSOCIATES, A MEDICAL CORP

Practice address

23080 Alessandro Blvd Ste 202
Moreno Valley, CA 92553-9674

Phone

(951) 697-7866

Fax

(951) 697-7869

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Clara Elizabeth Olachea-Rodriguez

Title

Assistant Manager

Phone

(951) 616-1961

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moreno Valley Clinica Medica Familiar 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 4

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

• Ela Grigorian, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1598937468
  Medicare reassignment Care Compare group NPD
• Daisy Lizzette Torres, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1689020729
  Medicare reassignment Care Compare group
• Octavio Ruiz-Villalpando, MD

  • Family Medicine Physician
  • Perris, CA
  • NPI 1194832816
  Medicare reassignment NPD
• Diana Hernandez, NP

  • Registered Nurse
  • Perris, CA
  • NPI 1629662358
  Medicare reassignment

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1659483352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-697-7866",
            "fax_number": "951-697-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD STE 202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539674",
            "telephone_number": "951-697-7866",
            "fax_number": "951-697-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENO VALLEY PHYSICIANS ASSOCIATES, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "OLACHEA-RODRIGUEZ",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "951-616-1961"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659483352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moreno Valley Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moreno Valley Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moreno Valley Dental Center
• Moreno Valley Dialysis Center
• Moreno Valley Imaging, L.L.C.
• Moreno Valley Med Care LLC
• Moreno Valley Medical Group, Inc
• Moreno Valley Regional Dialysis
• Moreno Valley SL I Limited Partnership
• Moreno Valley SNF, LLC
• Moreno Valley Unified School District
• Moreno Valley Unified School District

• Family Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.