Organization Active NPI

West Coast Surgical Specialists

  • Surgery Physician
  • Murrieta, CA
National Provider Identifier
1265764716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WEST COAST SURGICAL SPECIALISTS
Practice address
28078 Baxter Rd Ste 420
Murrieta, CA 92563-1404
Phone
(951) 566-9370
Fax
(951) 200-4401
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Patrick Moore, MDNPI 1194784025
Title
Owner
Phone
(951) 566-9370

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 420
Murrieta, CA 92563-1404

Mailing address

29910 Murrieta Hot Springs Rd Ste G345
Murrieta, CA 92563-3814
Phone (951) 566-9370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100310000197 CA Part B Supplier - Clinic/Group Practice 8426193889 Receives reassigned benefits from 3 practitioners
Practice locations: Wildomar, CA; Temecula, CA; Poway, CA; Murrieta, CA; Hemet, CA

National Provider Directory

National Provider Directory

Locations

521 E Elder St
Ste 201
Fallbrook, CA 92028
Phone (760) 728-5774

1268 E Latham Ave
Hemet, CA 92543
Phone (951) 929-7600

540 N San Jacinto St
Ste B
Hemet, CA 92543
Phone (951) 566-9307

29910 Murrieta Hot Springs Rd
#G34
Murrieta, CA 92563

25495 Medical Center Dr
Murrieta, CA 92562
Phone (951) 200-7777

39765 Date St
Ste 101
Murrieta, CA 92563
Phone (951) 743-7246

29910 Murrieta Hot Springs Rd
Ste G345
Murrieta, CA 92563

28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888

27412 Enterprise Cir W
Ste 105
Temecula, CA 92590
Phone (951) 566-9307

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265764716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29910 MURRIETA HOT SPRINGS RD STE G345",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633814",
            "telephone_number": "951-566-9370",
            "fax_number": "951-200-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 420",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-566-9370",
            "fax_number": "951-200-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST SURGICAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-566-9370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.