Organization Active NPI

Murrieta Valley Surgery Center, Inc.a Professional Corporation

  • Ambulatory Surgical Clinic/Center
  • Wildomar, CA
National Provider Identifier
1144673526
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MURRIETA VALLEY SURGERY CENTER, INC.A PROFESSIONAL CORPORATION
Practice address
36320 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7512
Phone
(951) 228-2817
NPI assigned
Jul 20, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Dr. Tito F Gorski, MDNPI 1508958240
Title
President
Phone
(951) 698-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

36320 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7512

Mailing address

36320 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7512
Phone (951) 228-2817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161013000321 CA Part B Supplier - Ambulatory Surgical Center 4587952205 Practice locations: Wildomar, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Murrieta Valley Surgery Center Inc a Professional Corporation Dba Murrieta Valley Surgery CenterCCN 05C0002151
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2121680Murrieta Valley Surgery Center Inc36320 Inland Valley Dr Ste 101B, Wildomar, CA 92595Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone (951) 698-3000

36320 Inland Valley Dr
Ste 101B
Wildomar, CA 92595
Phone (951) 228-2817

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1144673526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-228-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-228-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRIETA VALLEY SURGERY CENTER, INC.A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "GORSKI",
        "authorized_official_first_name": "TITO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-698-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.