Inland Valley Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INLAND VALLEY SURGERY CENTER, LLC

Practice address

41900 Winchester Rd Ste 102
Temecula, CA 92590-3426

Phone

(951) 461-6502

Fax

(951) 296-3679

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Paul Blacharski, M.D.NPI 1215034335

Title

Direct Owner

Phone

(951) 679-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Inland Valley Surgery Center LLCCCN 05C0002021

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Corona Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Corona Surgery Center, LLC

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1205077724
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Blacharski, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Menifee, CA
  • NPI 1215034335
  NPD Authorized official

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1184978637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903403",
            "telephone_number": "951-461-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903426",
            "telephone_number": "951-461-6502",
            "fax_number": "951-296-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "BLACHARSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "951-679-0400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Eye Specialists a Medical Corp
• Inland Pacific Medical Partners PC
• Inland Psychiatric Medical Group, Inc
• Inland Urgent Care a Medical Corporation
• Inland Valley Retina Medical Associates, Inc
• Inner Sol Therapy Licensed Clinical Social Worker Co Inc
• Innovative Extensivist Group PC
• Innovative Medical Group
• Innovative Medical Specialties Inc
• Innovative Pain Treatment Surgery Center of Temecula, Inc.

• Ambulatory Surgical Clinic/Center in Temecula, CA
• Providers in Temecula, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.