TRI-VALLEY SURGEY, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1609099381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609099381 |
| Entity Type | Organization |
| Organization Name | TRI-VALLEY SURGEY, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
36243 Inland Valley Dr Ste 40 Wildomar CA 92595-9547 |
| Practice Telephone | 9518942620 |
| Practice Fax Number | 9518942622 |
| Mailing Telephone | 9518942620 |
| Mailing Fax Number | 9518942622 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL SEUNGHWAN OH (PRESIDENT) |
| Authorized Official Telephone | 9518942620 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A86585 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
36243 INLAND VALLEY DR STE 40 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-9547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067163 | Helena Janette Pelayo | Speech-Language Pathologist | 36243 Inland Valley Dr Ste 40, Wildomar, CA 92595-9547 | 2019-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| 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 |
|---|---|---|---|---|
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1730141383 | Marvin J Atchison | Surgery | 36320 Inland Valley Dr., Suite 101a, Wildomar, CA 92595-7512 | 2006-04-06 |
| 1760743454 | Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595 | 2012-05-30 |
| 1104146968 | Michael L Cross Md, A Professional | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2010-06-03 |
| 1508958240 | Tito F Gorski | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2006-09-29 |
| 1538250139 | Dbia Igwe Medical Inc | Surgery | 36243 Inland Valley Dr, # 60, Wildomar, CA 92595-9549 | 2006-09-27 |
| 1184735136 | Craig C Owens | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2006-08-31 |
| 1871609198 | Kirtikumar B Junnarkar | Surgery | 36243 Inland Valley Dr, Suite 210, Wildomar, CA 92595 | 2006-08-21 |
| 1003822347 | Raymund S Cordero | Surgery | 36320 Inland Valley Dr, Suite 201, Wildomar, CA 92595-7512 | 2006-07-31 |
| 1295741635 | Francis Essien | Surgery | 36320 Inland Valley Dr, Ste 101a, Wildomar, CA 92595-7512 | 2006-07-31 |
| Find all providers in WILDOMAR | ||||
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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.