Southern California Transplantation Institute

Primary specialty

SpecialistTaxonomy code 174400000X

License

A37140 Issued in CA

Legal business name

SOUTHERN CALIFORNIA TRANSPLANTATION INSTITUTE

Practice address

4000 14TH St
Suite 512
Riverside, CA 92501-4083

Phone

(951) 275-9000

Fax

(951) 275-5262

NPI assigned

Oct 11, 2005

Last updated

Aug 22, 2020By 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

Dr. Hakan Erik Wahlstrom, M.D.NPI 1801813688

Title

Medical Director/President

Phone

(951) 275-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Hakan Erik Wahlstrom, M.D.

  • Surgery Physician
  • Riverside, CA
  • NPI 1801813688
  NPD (past) Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164410494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "SUITE 512",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014019",
            "telephone_number": "951-275-9000",
            "fax_number": "951-275-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "SUITE 512",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014083",
            "telephone_number": "951-275-9000",
            "fax_number": "951-275-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA TRANSPLANTATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHLSTROM",
        "authorized_official_first_name": "HAKAN",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "951-275-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern California Occupational Medicine Providers, AMC (Riverside Industrial Med Clinic & Urgent Care)
• Southern California Orthopaedic Specialists Medical Group
• Southern California Permanente Medical Group
• Southern California Permanente Medical Group
• Southern California Transplantation Associates Inc (Riverside Transplantation Institute)
• Southern California Vein and Aesthetics LLC
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Respiratory Inc
• Southland Spine & Rehabilitation Med Ctr
• Adebola Adegbola Soyemi, LMFT

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.