Marvin J Atchison, MD
Individual provider Active NPI Surgery Physician · Wildomar, CA
NPI 1730141383 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1730141383
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 50639 (AZ)
- Practice address
- 36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512 - Phone
- (480) 354-3200
- Fax
- (480) 354-0391
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Loma Linda University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inland Valley Trauma and Acute Care Surgery Apc Inc
Murrieta Valley Surgery Associates Medical Group Inc Apc
Practice addresses (Care Compare)
36320 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7512
Phone (951) 698-3000
Hospital & facility affiliations
- Southwest Healthcare Rancho Springs Hospital
- Temecula Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040121000518 | CA | Practitioner - General Surgery |
9335041417 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50639 | AZ | MD | Surgery Physician |
| A70292 | CA | MD | Surgery Physician |
Practice roles (13 of 14)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | Current |
Accepting new patients |
| Memorial Medical Center | Past | Accepting new patients | |
| PHC-Las Cruces Inc | Past | Accepting new patients | |
| Memorial Medical Center | Past | Accepting new patients | |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Banner Heart Hospital | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Banner Baywood Medical Center | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Memorial Medical Center Inc | Past | Accepting new patients | |
| Murrieta Valley Surgery Center, Inc.a Professional Corporation | Past | Accepting new patients |
Locations
830 Magnolia Ave
Ste 1
Corona, CA 92879
3853 W Stetson Ave
Ste 105
Hemet, CA 92545
31537 Rancho Pueblo Rd
Temecula, CA 92592
Phone (951) 303-2277
31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000
36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304
36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A70292 | CA | |
| Surgery Physician | 208600000X | 50639 | AZ | Yes |
Addresses
Primary practice location
36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Mailing address
36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Phone (480) 354-3200
Other providers in Wildomar, CA
- Marissa Arriaga
- Nicholas Arroyo
- Alyssa Artiaga
- Associated Womens Healthcare of the Inland Valley, a Med. Corp
- Nasko Lubenov Atanassov
- Erene Attalla
- Tatiana Maria Attobra
- Sarah Aurelio
- Natalie Avalos-Ramirez
- Susana Avalos
All providers in Wildomar, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.