MISSION SURGICAL GROUP (NPI# 1205289956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205289956 |
| Entity Type | Organization |
| Organization Name | MISSION SURGICAL GROUP |
| Practice Address |
2250 S Main St Suite 206 Corona CA 92882-2534 |
| Mailing Address |
Po Box 512347 Los Angeles CA 90051-0347 |
| Practice Telephone | 9512788870 |
| Practice Fax Number | 9512788913 |
| Mailing Telephone | 7144563856 |
| Mailing Fax Number | 7144566216 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | DR. MANUEL PORTO (PRESIDENT) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780037432 | Mission Surgical Group | Clinic/Center | 36243 Inland Valley Dr, Suite 280, Wildomar, CA 92595-9549 | 2016-07-18 |
| 1104276393 | Mission Surgical Group | Clinic/Center | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2016-06-17 |
| Street Address |
2250 S MAIN ST SUITE 206 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343022 | Anthony John Pirritano | Chiropractor | 2250 S Main St, Ste 203, Corona, CA 92882-2534 | 2005-08-18 |
| 1518414515 | Sarah Nelson | Nurse Practitioner | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2016-09-07 |
| 1477923845 | Bluechip Infusion Services | Home Infusion | 2250 S Main St, Suite 106, Corona, CA 92882-2534 | 2015-09-29 |
| 1023400322 | Integrated Medical Center of Corona Inc. | Clinic/Center | 2250 S Main St, Suite 203, Corona, CA 92882-2534 | 2015-02-23 |
| 1235362203 | Sarah Santos | Chiropractor | 2250 S Main St, #203, Corona, CA 92882-2534 | 2009-08-25 |
| 1891938155 | Circle City Ekg Reading Panel,inc | Specialist | 2250 S Main St, Ste 201, Corona, CA 92882-2536 | 2009-04-15 |
| 1396993713 | Jennifer Pham | Physician Assistant | 2250 S Main St, Ste. 104, Corona, CA 92882-2534 | 2008-08-28 |
| 1316108491 | Srinidhi Ekkati | Physician Assistant | 2250 S Main St, Suite 201, Corona, CA 92882-2534 | 2008-06-20 |
| 1194903344 | Tracey Doxzon | Physician Assistant | 2250 S Main St, Ste 106, Corona, CA 92882-2534 | 2008-02-08 |
| 1184802332 | Nicole Rae Newman | Physician Assistant | 2250 S Main St, Ste. 106, Corona, CA 92882-2534 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912360868 | Uci Hlth At Corona Reg Med Ctr- Ob/gyn | Clinic/Center | 800 S Main St, Corona, CA 92882-3420 | 2016-03-29 |
| 1043670680 | Uc Irvine Health - Corona (urology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1639539265 | Uc Irvine Health- Corona (neurology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1992165534 | Uc Irvine Health- Corona (obgyn) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1033579743 | Uc Irvine Health- Corona (emergency Medicine) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1124496773 | Uc Irvine Health - Corona (medicine) | Clinic/Center | 341 Magnolia Ave, Suite 205, Corona, CA 92879-3330 | 2015-09-11 |
| 1568857274 | Nurturing You Women's Health & Wellness, Inc. | Clinic/Center | 1810 Fullerton Ave, Suite 203, Corona, CA 92881-3103 | 2015-03-30 |
| 1407129323 | Industrial Medical Center | Clinic/Center | 91 E Grand Blvd, Corona, CA 92879-1340 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1588286603 | Tri Health Medical Institute Management Company LLC | Clinic/Center | 17777 Ventura Blvd Ste 100, Encino, CA 91316-3738 | 2020-05-12 |
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1669007274 | Hough Chiropractic Inc | Clinic/Center | 11770 Warner Ave Ste 122, Fountain Valley, CA 92708-2660 | 2020-03-04 |
| 1760017412 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 2409 Artesia Blvd, Redondo Beach, CA 90278-3207 | 2020-03-03 |
| 1316572068 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1317 Main St Ste B, Delano, CA 93215-1737 | 2020-03-03 |
| 1588299234 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 20111 W Valley Blvd, Tehachapi, CA 93561-8747 | 2020-03-03 |
| 1003440884 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 300 Old River Rd Ste 120, Bakersfield, CA 93311-9512 | 2020-03-02 |
| 1083247795 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 1025 N Demaree St, Visalia, CA 93291-4117 | 2020-02-20 |
| 1780217489 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 621 W Line St Ste 105, Bishop, CA 93514-3320 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISSION SURGICAL GROUP.
| 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.