NPIMap

Individual provider Active NPI

Bolaji A Nafiu, M.D.

  • Vascular Surgery Physician
  • Wildomar, CA
National Provider Identifier
1003927393
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A69105 Issued in CA
Practice address
36320 Inland Valley Dr. #101a
Wildomar, CA 92595-7512
Phone
(951) 698-3000
Fax
(951) 698-7700
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A69105 CA
Vascular Surgery Physician 2086S0129X A69105 CA Primary

Addresses

Primary practice location

36320 Inland Valley Dr. #101a
Wildomar, CA 92595-7512

Mailing address

36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000305 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 2668495680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Murrieta Valley Surgery Associates Medical Group Inc ApcGroup PAC ID 6002136926, 16 clinicians
Inland Valley Trauma and Acute Care Surgery Apc IncGroup PAC ID 9830444751, 11 clinicians

Practice addresses (Care Compare)

36320 Inland Valley Dr
Wildomar, CA 92595-7512
Phone (951) 698-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)20
Removal of tissue24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69105CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Murrieta Valley Surgery Associates Medical Group, Inc, Apc Surgery CurrentSince Oct 28, 2019 Accepting new patients
Inland Valley Trauma and Acute Care Surgery Apc Inc Surgery CurrentSince Jun 1, 2018 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

830 Magnolia Ave
Fl 1
Corona, CA 92879
Phone (657) 216-6090

830 Magnolia Ave
Ste 1
Corona, CA 92879

3853 W Stetson Ave
Ste 105
Hemet, CA 92545

31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304

36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bnafiu182052@direct.llu.edu

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1003927393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR.",
            "address_2": "SUITE 101A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR. #101A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFIU",
        "first_name": "BOLAJI",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A69105",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A69105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

Verify at the official NPI Registry.