Heacock Health Medical Group, Inc.
NPI 1891251849 · Urgent Care Clinic/Center · Moreno Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heacock Health Medical Group, Inc. is a Urgent Care Clinic/Center organization in Moreno Valley, CA (NPI 1891251849).
Provider details
- NPI number
- 1891251849
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rafael Penunuri, Medical Director(951) 247-8005
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-02-14
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Heacock Health Medical Group, Inc.'s NPI number?
- Heacock Health Medical Group, Inc.'s National Provider Identifier (NPI) is 1891251849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heacock Health Medical Group, Inc.?
- Heacock Health Medical Group, Inc. is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Heacock Health Medical Group, Inc. located?
- Heacock Health Medical Group, Inc.'s practice location on file with NPPES is 24060 Fir Ave Ste a, Moreno Valley, CA 92553-2895.
- What is Heacock Health Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Heacock Health Medical Group, Inc. is (951) 247-8005.
- Does Heacock Health Medical Group, Inc. accept Medicare?
- Heacock Health Medical Group, 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 Heacock Health Medical Group, Inc.?
- The authorized official listed on Heacock Health Medical Group, Inc.'s NPPES record is Rafael Penunuri, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heacock Health Medical Group, Inc.'s NPI active?
- Yes — Heacock Health Medical Group, Inc.'s NPI (1891251849) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.