Inland Pacific Surgical PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

INLAND PACIFIC SURGICAL PC

Practice address

15942 Colorado Ave
Paramount, CA 90723-5008

Phone

(323) 545-9288

NPI assigned

Mar 20, 2025

Last updated

May 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivier Urayeneza, MDNPI 1457588758

Title

President&Ceo

Phone

(323) 545-9288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olivier Urayeneza, M.D.

  • Surgery Physician
  • Paramount, CA
  • NPI 1457588758

  Single Specialty

  Medicare reassignment NPD Authorized official
• Thai Phou

  • Surgical Physician Assistant
  • La Puente, CA
  • NPI 1023319746
  Medicare reassignment

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1063213700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15942 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235008",
            "telephone_number": "323-545-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15942 COLORADO AVE",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235008",
            "telephone_number": "323-545-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND PACIFIC SURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "URAYENEZA",
        "authorized_official_first_name": "OLIVIER",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "323-545-9288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aziz Ibrahim, MD
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• Tatyana Igidbashian
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• Infotech Institute, Inc
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• Mohammad Ismail, MD
• J & L de Leon Medical Corporation
• Mobashshera Jabeen, PHYSICIAN ASSISTANT
• Leena Mary Jacob

• Surgery Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.