Murrieta Valley Surgery Associates Medical Group, Inc, Apc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A68155 Issued in CA

Legal business name

MURRIETA VALLEY SURGERY ASSOCIATES MEDICAL GROUP, INC, APC

Doing business as

Murrieta Valley Surgery Associates

Practice address

36320 Inland Valley Dr
Suite 201
Wildomar, CA 92595

Phone

(951) 698-3000

Fax

(951) 698-7700

NPI assigned

May 30, 2012

Last updated

Jun 12, 2018By 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

Shirley Wright

Title

Administrator

Phone

(951) 698-3000

Specialties & licenses 5

Addresses

Other names 1

• Murrieta Valley Surgery Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

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.

• Marvin J Atchison, MD

  • Surgery Physician
  • Wildomar, CA
  • NPI 1730141383
  Medicare reassignment Care Compare group NPD
• Kaylene Barrera, MD

  • Surgery Physician
  • Wildomar, CA
  • NPI 1467747188
  Medicare reassignment Care Compare group NPD
• Raymund S Cordero, M.D.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1003822347
  Medicare reassignment Care Compare group NPD
• Stephen A Dada, M.D.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1710040605
  Medicare reassignment Care Compare group NPD
• Francis Essien, M.D.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1295741635
  Medicare reassignment Care Compare group NPD
• Hege Johnsen, MD

  • Surgery Physician
  • Hemet, CA
  • NPI 1487781829
  Medicare reassignment Care Compare group NPD
• Amit B. Karmur, D.O.

  • Vascular Surgery Physician
  • Wildomar, CA
  • NPI 1700134830
  Medicare reassignment Care Compare group NPD
• Olivia L Mac, M.D.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1265886824
  Medicare reassignment Care Compare group NPD
• Bolaji A Nafiu, M.D.

  • Vascular Surgery Physician
  • Wildomar, CA
  • NPI 1003927393
  Medicare reassignment Care Compare group NPD
• Sarvenaz Nouri, M.D.

  • Surgery Physician
  • Murrieta, CA
  • NPI 1740629211
  Medicare reassignment Care Compare group NPD
• James O'Loughlin, D.O.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1124438924
  Medicare reassignment Care Compare group NPD
• Craig C Owens, M.D.

  • Surgery Physician
  • Wildomar, CA
  • NPI 1184735136
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1760743454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR STE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925957512",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36320 INLAND VALLEY DR",
            "address_2": "SUITE 201",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "92595",
            "telephone_number": "951-698-3000",
            "fax_number": "951-698-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRIETA VALLEY SURGERY ASSOCIATES MEDICAL GROUP, INC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-698-3000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G60487",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A68155",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A55612",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A60160",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A68154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murrieta Valley Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Murrieta Valley Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Mullins
• Theresa Muravez
• Kennedy Murdock
• Piper Murphy, RBT
• Murrieta Pathology Medical Associates Inc
• Murrieta Valley Surgery Center, Inc.a Professional Corporation
• Kassidy Myers
• Omar H Nael
• Bolaji A Nafiu, M.D.
• Kiran Nagaraja

• Surgery Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.