Organization Active NPI

Inland Facial Trauma, Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Wildomar, CA
National Provider Identifier
1750153417
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
INLAND FACIAL TRAUMA, INC
Practice address
Inland Valley Medical Center
36485 Inland Valley Drive
Wildomar, CA 92595
Phone
(951) 600-7457
Fax
(951) 327-9554
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. David Allen Pulsipher, M.D
Title
Owner
Phone
(951) 600-7457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

Inland Valley Medical Center
36485 Inland Valley Drive
Wildomar, CA 92595

Mailing address

Inland Facial Trauma, Inc
39755 Murrieta Hot Springs, B120
Murrieta, CA 92563
Phone (951) 600-7457

National Provider Directory

National Provider Directory

Locations

39755 Murrieta Hot Springs Rd
Ste B120
Murrieta, CA 92563

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1750153417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INLAND FACIAL TRAUMA, INC",
            "address_2": "39755 MURRIETA HOT SPRINGS, B120",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-600-7457",
            "fax_number": "951-327-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INLAND VALLEY MEDICAL CENTER",
            "address_2": "36485 INLAND VALLEY DRIVE",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "92595",
            "telephone_number": "951-600-7457",
            "fax_number": "951-327-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND FACIAL TRAUMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "PULSIPHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-600-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.