Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heacock Health Medical Group, Inc

Organization Family Medicine Physician · NPI 1891251849

Heacock Health Medical Group, Inc is a Family Medicine Physician in Moreno Valley, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24060 Fir Ave Ste A
Moreno Valley, CA 92553-2895
Phone: (951) 247-8005
Fax: (951) 247-8007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1891251849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rafael Penunuri — Medical Director · (951) 247-8005
NPI enumeratedFebruary 14, 2019
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address24060 Fir Ave Ste A, Moreno Valley, CA 92553-2895

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