HIDDEN VALLEY SURGICAL MED. GROUP, INC. (NPI# 1063579423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063579423 |
| Entity Type | Organization |
| Organization Name | HIDDEN VALLEY SURGICAL MED. GROUP, INC. |
| Practice Address |
1955 Citracado Pkwy Suite 200 Escondido CA 92029-4110 |
| Practice Telephone | 7604891355 |
| Practice Fax Number | 7604891392 |
| Mailing Telephone | 7604891355 |
| Mailing Fax Number | 7604891392 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. FRANKLIN M. MARTIN (CEO) |
| Authorized Official Telephone | 7604891355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G65456 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1955 CITRACADO PKWY SUITE 200 |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071469 | Bradley Howard Chesler | Physical Medicine & Rehabilitation | 1955 Citracado Pkwy, Suite 203, Escondido, CA 92029-4110 | 2005-05-24 |
| 1528510930 | Chase Wagner | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2016-11-01 |
| 1881018067 | Kimberly Marie Barmack | Nurse Practitioner | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2014-02-10 |
| 1730432469 | Lc San Diego LLC | Pharmacy | 1955 Citracado Pkwy, Ste 101, Escondido, CA 92029-4110 | 2012-10-18 |
| 1679825764 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 1955 Citracado Pkwy, Suite 100, Escondido, CA 92029-4110 | 2012-10-12 |
| 1518217330 | Arch Health Partners | Internal Medicine | 1955 Citracado Pkwy, Ste 300, Escondido, CA 92029-4110 | 2012-09-19 |
| 1215201108 | Maryam Balouch | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2012-02-24 |
| 1487892352 | Arush Arvin Patel | Orthopaedic Surgery | 1955 Citracado Pkwy, # 200, Escondido, CA 92029-4110 | 2009-01-29 |
| 1619174133 | Navinder Singh Sawhney | Internal Medicine | 1955 Citracado Pkwy, Suite 300, Escondido, CA 92029-4110 | 2007-06-28 |
| 1114044633 | Robert Duane Frost | Physician Assistant | 1955 Citracado Pkwy, Suite 200, Escondido, CA 92029-4110 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205192614 | Christopher E Yi | Surgery | 387 N Escondido Blvd Ste A, Escondido, CA 92025 | 2012-04-10 |
| 1730342817 | Michael Solomon Katz | Surgery | 2067 Wineridge Pl Ste A, Escondido, CA 92029-1952 | 2008-07-08 |
| 1275593154 | Anatoly J Bulkin | Surgery | 625 W Citracado Pkwy, Suite 203, Escondido, CA 92025-6428 | 2006-03-24 |
| 1376860056 | Alexander Tae-shik Chang | Surgery | 625 Citracado Pkwy, Suite 203, Escondido, CA 92025-6428 | 2010-04-21 |
| 1477751535 | Ramin Sorkhi | Surgery | 225 E 2nd Ave, Suite 340, Escondido, CA 92025-4212 | 2007-07-10 |
| 1356452650 | David W Cloyd | Surgery | 215 S Hickory St, Ste. 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1013028521 | Thomas S Velky | Surgery | 215 S Hickory St, Ste. 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1497866990 | John T Steele | Surgery | 215 S Hickory St, Ste. 112, Escondido, CA 92025 | 2006-08-31 |
| 1811008147 | Gregory S Campbell | Surgery | 215 S Hickory St, Ste 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1326159641 | Sayed Riaz Bokhari | Surgery | 215 S Hickory St, Ste.112, Escondido, CA 92025-4360 | 2006-08-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.