Southwest Trauma

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

SOUTHWEST TRAUMA

Practice address

25500 Medical Center Dr
Murrieta, CA 92562-5965

Phone

(951) 696-6000

Fax

(951) 296-6149

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fetus Dada, M.D.

Title

President

Phone

(951) 973-7380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1669545778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7380",
            "fax_number": "951-973-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEDICAL CENTER DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625965",
            "telephone_number": "951-696-6000",
            "fax_number": "951-296-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TRAUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "FETUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-973-7380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Surgical
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• Kristie Renee Southern
• Southland Gi Medical Corporation a Professional Corporation
• Southwest Hematology Oncology Medical Group
• Kasey Souvannaleuth
• Amy Rachelle Sowa
• Alison Spadaro, NP
• Christian Spangler
• Isabelle Pia Spannbauer

• Trauma Surgery Physician in Murrieta, CA
• Providers in Murrieta, 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 Apr 20, 2008; 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.