Mission Grove Medical Corporation
NPI 1205224417 · Pulmonary Disease Physician · Riverside, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mission Grove Medical Corporation is a Pulmonary Disease Physician organization in Riverside, CA (NPI 1205224417).
Provider details
- NPI number
- 1205224417
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jean Lacombe, Ao(951) 780-3300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-23
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Frequently asked questions
- What is Mission Grove Medical Corporation's NPI number?
- Mission Grove Medical Corporation's National Provider Identifier (NPI) is 1205224417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission Grove Medical Corporation?
- Mission Grove Medical Corporation is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mission Grove Medical Corporation located?
- Mission Grove Medical Corporation's practice location on file with NPPES is 191 E. Alessandro Blvd #9a, Riverside, CA 92508-5095.
- What is Mission Grove Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mission Grove Medical Corporation is (951) 780-3300.
- Does Mission Grove Medical Corporation accept Medicare?
- Mission Grove Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mission Grove Medical Corporation?
- The authorized official listed on Mission Grove Medical Corporation's NPPES record is Jean Lacombe, Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission Grove Medical Corporation's NPI active?
- Yes — Mission Grove Medical Corporation's NPI (1205224417) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.