NPIMap

Organization Active NPI

Mission Surgical Group

  • Medical Specialty Clinic/Center
  • Wildomar, CA
National Provider Identifier
1780037432
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
MISSION SURGICAL GROUP
Practice address
36243 Inland Valley Dr
Suite 280
Wildomar, CA 92595-9549
Phone
(951) 278-8870
Fax
(951) 278-8913
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Manuel Porto, M.D.
Title
President
Phone
(714) 456-2986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

36243 Inland Valley Dr
Suite 280
Wildomar, CA 92595-9549

Mailing address

PO Box 512347
Los Angeles, CA 90051-0347
Phone (714) 456-3856

National Provider Directory

National Provider Directory
Tax ID family
Mission Surgical Group8 organizations share this tax ID, including this one
Part of
UC Irvine Medical Center - for Oc Kids

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36243 Inland Valley Dr
Ste 280
Wildomar, CA 92595
Phone (951) 278-8870

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1780037432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512347",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510347",
            "telephone_number": "714-456-3856",
            "fax_number": "714-456-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR",
            "address_2": "SUITE 280",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959549",
            "telephone_number": "951-278-8870",
            "fax_number": "951-278-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION SURGICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-456-2986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "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 Jul 18, 2016; 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.