NPIMap

Individual provider Active NPI

Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1831270362
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G50737 Issued in CA
Practice address
1419 Superior Ave
Ste#1
Newport Beach, CA 92663-2723
Phone
(949) 650-0587
Fax
(949) 631-8155
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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 G50737 CA Primary

Addresses

Primary practice location

1419 Superior Ave
Ste#1
Newport Beach, CA 92663-2723

Mailing address

1419 Superior Ave
Ste#1
Newport Beach, CA 92663
Phone (949) 650-0587

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000595 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Family PracticePractitioner - Obstetrics/Gynecology 1759432396 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remedial Patients Care IncGroup PAC ID 1254719909, 6 clinicians
Life Health Care Medical Group IncGroup PAC ID 4587048657, 2 clinicians

Practice addresses (Care Compare)

1419 Superior Ave
Suite 1
Newport Beach, CA 92663-2723
Phone (949) 650-0587

1451 Rimpau Ave
Suite 213
Corona, CA 92879-7522
Phone (951) 268-6272

24060 Fir Ave
Suite a
Moreno Valley, CA 92553-2895
Phone (951) 247-8005

505 N Tustin Ave
Suite 190
Santa Ana, CA 92705-3777
Phone (714) 784-5433

Hospital & facility affiliations

  • Golden Life Home Health, Inc Home health agency, Canoga Park, CA, CCN 559448
  • All Weather Home Health Home health agency, Monterey Park, CA, CCN 757363
  • K & K Home Health Care, Inc Home health agency, Glendale, CA, CCN 053120
  • All-Access Home Health, Inc Home health agency, Glendale, CA, CCN 059242
  • Trustedcare Home Health of Imperial Valley Home health agency, El Centro, CA, CCN 757487
  • Blue Sky Hospice Care, Inc. Hospice, Van Nuys, CA, CCN B41637
  • Top Quality Hospice & Palliative Care Inc Hospice, Valley Village, CA, CCN B31521
  • Hospice of Gentle Care, Inc. Hospice, Glendale, CA, CCN B51516
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue42
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50737CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maxlife Medical Group Inc CurrentSince Jul 9, 2025 Accepting new patients
Remedial Medical Services Inc CurrentSince Dec 10, 2020 Accepting new patients
Remedial Patients Care Inc CurrentSince Apr 6, 2022 Accepting new patients
Superior Family Medical Group Inc Family Medicine CurrentSince Jun 22, 2009 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Adelante Medical Group, Inc. Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

801 E Birch St
Ste 2
Calexico, CA 92231
Phone (562) 273-5572

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

610 Newport Center Dr
Ste 230
Newport Beach, CA 92660

1419 Superior Ave
Ste 1
Newport Beach, CA 92663
Phone (949) 650-0587

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

1840 S Standard Ave
Ste 108
Santa Ana, CA 92707
Phone (714) 541-6009

11161 Washington Blvd
Whittier, CA 90606
Phone (562) 695-2250

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rafael.penunurimd.p50@direct.nautilus.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Gentle Care IncGlendale, CA, CCN B51516 Hospice W-2 Managing Employee Oct 4, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1831270362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE",
            "address_2": "STE#1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92663",
            "telephone_number": "949-650-0587",
            "fax_number": "949-631-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SUPERIOR AVE",
            "address_2": "STE#1",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632723",
            "telephone_number": "949-650-0587",
            "fax_number": "949-631-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENUNURI",
        "first_name": "RAFAEL",
        "middle_name": "ARTURO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-01-04",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.