DR. HAKAN ERIK WAHLSTROM (NPI# 1801813688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801813688 |
| Entity Type | Individual |
| Full Name | DR. HAKAN ERIK WAHLSTROM |
| Credential | M.D. |
| Practice Address |
4500 Brockton Ave. Suite 306 Riverside CA 92501-4027 |
| Practice Telephone | 9512759000 |
| Practice Fax Number | 9512755262 |
| Mailing Telephone | 9512759000 |
| Mailing Fax Number | 9512755262 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A37140 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A371400 | 05 |
| Street Address |
4500 BROCKTON AVE. SUITE 306 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447277231 | Southern California Transplantation Associates Inc | Surgery | 4500 Brockton Ave., Suite 306, Riverside, CA 92501-4027 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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 |
|---|---|---|---|---|
| 1477997336 | Aras Emdadi | Surgery | 7300 Magnolia Ave # Surgery, Riverside, CA 92504-3849 | 2013-04-23 |
| 1639497209 | Benjamin Y Leong Md Inc | Surgery | 4000 14th St Ste 412, Riverside, CA 92501-4010 | 2010-05-06 |
| 1457675001 | David R Barton | Surgery | 13945 Harvey Ln, Riverside, CA 92503-7263 | 2010-03-24 |
| 1508012576 | Thorocor Medical Enterprises, Inc. | Surgery | 3903 Brockton Ave, Suite Two, Riverside, CA 92501-3212 | 2008-08-11 |
| 1154577328 | Shaun C Daly | Surgery | 3600 Park Sierra Dr Ste 105, Riverside, CA 92505-3059 | 2008-08-07 |
| 1588849152 | Emergency Surgical Associates | Surgery | 3903 Brockton Ave Ste 1, Riverside, CA 92501-3212 | 2008-01-02 |
| 1437344538 | So. Cal. Endo Surgical Medical Group, Inc. | Surgery | 3838 Sherman Dr Ste 6, Riverside, CA 92503-4001 | 2007-09-11 |
| 1932329265 | Mark Laverne Janzen | Surgery | 10800 Magnolia Avenue, Kaiser Permanente Riverside Medical Center, Riverside, CA 92505 | 2007-04-27 |
| 1770659278 | Harvey Nurick M.d. Incorporated | Surgery | 7111 Indiana Ave # 100, Riverside, CA 92504-4543 | 2006-11-27 |
| 1063423093 | Colathur K Palani | Surgery | 3412 Harlem Ave, Riverside, IL 60546-2365 | 2006-08-11 |
| Find all providers in RIVERSIDE | ||||
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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.