NPIMap

Organization Active NPI

Oc Trauma Inc

  • Trauma Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1720516628
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
OC TRAUMA INC
Practice address
26732 Crown Valley Pkwy Ste 440
Mission Viejo, CA 92691-6306
Phone
(949) 364-1007
Fax
(949) 588-8719
NPI assigned
May 23, 2017
Organization subpart
Yes
Parent organization
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Dr. William Campbell Wallace, MDNPI 1528088960
Title
Ceo
Phone
(949) 457-7913

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
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy Ste 440
Mission Viejo, CA 92691-6306

Mailing address

26732 Crown Valley Pkwy Ste 440
Mission Viejo, CA 92691-6306
Phone (949) 364-1007

Other practice location 1

24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687
Phone (949) 457-7900

Other identifiers 1

IdentifierTypeStateIssuer
CB281893OtherCAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170822002564 CA Part B Supplier - Clinic/Group Practice 7214205152 Receives reassigned benefits from 28 practitioners
Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory
Part of
South Orange County Surgical Medical Group Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

26372 Crown Vly Pkwy
Ste 351
Mission Viejo, CA 92691
Phone (949) 364-1007

26732 Crown Valley Pkwy
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1720516628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 440",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1007",
            "fax_number": "949-588-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 440",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1007",
            "fax_number": "949-588-8719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24411 Health Center Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533687",
            "country_code": "US",
            "telephone_number": "949-457-7900",
            "fax_number": "949-588-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OC TRAUMA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.",
        "enumeration_date": "2017-05-23",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-457-7913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CB281893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.