Active NPI
Moreno Valley Med Care LLC
- Clinical Medical Laboratory
- Moreno Valley, CA
National Provider Identifier
1982551933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- MORENO VALLEY MED CARE LLC
- Practice address
- 14812 Casa Loma Dr
Moreno Valley, CA 92553-7131 - Phone
- (480) 764-3757
- NPI assigned
- Mar 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Donkoh
- Title
- President
- Phone
- (480) 764-3757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
14812 Casa Loma Dr
Moreno Valley, CA 92553-7131
Mailing address
14812 Casa Loma Dr
Moreno Valley, CA 92553-7131
Phone (480) 764-3757
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1982551933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14812 CASA LOMA DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925537131",
"telephone_number": "480-764-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14812 CASA LOMA DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925537131",
"telephone_number": "480-764-3757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORENO VALLEY MED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-10",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "DONKOH",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-764-3757"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
- Moreno Valley Community Hospital
- Moreno Valley Community Medical Group
- Moreno Valley Dental Center
- Moreno Valley Dialysis Center
- Moreno Valley Imaging, L.L.C.
- Moreno Valley Medical Group, Inc
- Moreno Valley Physicians Associates, a Medical Corp
- Moreno Valley Regional Dialysis
- Moreno Valley SL I Limited Partnership
- Moreno Valley SNF, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.