Innovi Healthcare Inc.
NPI 1528689965ActiveOrganization· Internal Medicine· Tustin, CA
Internal Medicine in Tustin, California, registered in NPPES in April 2020, part of Innovi Healthcare Inc. The authorized official on file is Mariam S. Hasan, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528689965 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Innovi Healthcare Inc. |
| NPI issued | Apr 27, 2020 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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