Magnolia Acute Trauma, a Medical Corporation

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION

Practice address

4445 Magnolia Ave
Riverside, CA 92501-4135

Phone

(469) 401-2386

NPI assigned

Jul 9, 2015

Last updated

Mar 30, 2023By 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

Karen Vaughn

Title

Officer

Phone

(973) 251-1132

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Achala Bhaskara Doraiswamy, MD

  • Medical Oncology Physician
  • Murrieta, CA
  • NPI 1912188152
  NPD (past)
• Valerie Bianca Galvan-Turner, M.D.

  • Gynecologic Oncology Physician
  • Riverside, CA
  • NPI 1104060425
  NPD (past)
• Joel M Lamon, MD

  • Hematology & Oncology Physician
  • San Diego, CA
  • NPI 1699721035
  NPD (past)

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1578947404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 CENTERVIEW DR STE 107",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "973-251-1132"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronilleen Alvar Maglian, MA
• John R Magner, PSYCHOLOGIST
• Aubrie Magness
• Nancy Shoukry Magness, MD
• Joy Gozum Magno, FNP
• Magnolia Pathology Medical Group, Inc.
• Magnolia Surgery Center,Inc.
• Magnolia Women's Center
• Janelle Magpayo, OT
• Gillian Maguire

• Trauma Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.