Innovi Healthcare Inc.
NPI 1528689965 · Internal Medicine Physician · Tustin, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovi Healthcare Inc. is a Internal Medicine Physician organization in Tustin, CA (NPI 1528689965).
Provider details
- NPI number
- 1528689965
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Innovi Healthcare Inc.
- Organization subpart
- Yes
- Authorized official
- Mariam Hasan, Ceo(408) 564-3492
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Other names (DBA / former)
- Doing business as
- Innovi Medical Group
Registry dates
- Enumerated
- 2020-04-27
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Innovi Healthcare Inc.'s NPI number?
- Innovi Healthcare Inc.'s National Provider Identifier (NPI) is 1528689965, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovi Healthcare Inc.?
- Innovi Healthcare Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Innovi Healthcare Inc. located?
- Innovi Healthcare Inc.'s practice location on file with NPPES is 11220 Amberdale Dr, Tustin, CA 92782-4329.
- What is Innovi Healthcare Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Innovi Healthcare Inc. is (949) 336-1875.
- Does Innovi Healthcare Inc. accept Medicare?
- Innovi Healthcare Inc. 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 Innovi Healthcare Inc.?
- The authorized official listed on Innovi Healthcare Inc.'s NPPES record is Mariam Hasan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovi Healthcare Inc.'s NPI active?
- Yes — Innovi Healthcare Inc.'s NPI (1528689965) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.