A.M.PALANCA-CAPISTRANO,M.D.INC. — NPI 1184027112 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MORENO VALLEY, CA)

CMS-1500 Box 24J / 33a • NPI

1184027112

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM2500X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

13800 HEACOCK ST, SUITE C-110, MORENO VALLEY, CA, 92553-3339

✓ 9-Digit EDI 837 ZIP+4 (92553-3339)

Practice Phone & Referral Fax

(951) 653-3388

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1184027112 (A.M.PALANCA-CAPISTRANO,M.D.INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1184027112` (NPI-2 Organization / Facility)
Provider / Legal Name	A.M.PALANCA-CAPISTRANO,M.D.INC.
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM2500X` (Clinic/Center, Medical Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	13800 HEACOCK ST, SUITE C-110, MORENO VALLEY, CA, 92553-3339
Practice Telephone / Fax	Tel: (951) 653-3388
Administrative Mailing Address	19069 VAN BUREN BLVD, RIVERSIDE, CA, 92508-9169
Enumeration & Last Sync	Enumerated: 2014-10-05 \| CMS Record Updated: 2014-10-05
Authorized Official	ANGELITA PALANCA-CAPISTRANO (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13800 HEACOCK ST, SUITE C-110, MORENO VALLEY, CA, 92553-3339

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Plain-English Taxonomy & CMS Crosswalk (261QM2500X)

What Does Taxonomy Code 261QM2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM2500X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A.M.PALANCA-CAPISTRANO,M.D.INC.)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM2500X` — Clinic/Center, Medical Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: CA \| License: `A91568` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A.M.PALANCA-CAPISTRANO,M.D.INC. (NPI #1184027112)