MISSION SURGICAL GROUP NPI 1205289956

NPI Information

  • NPI: 1205289956
  • Provider Name: MISSION SURGICAL GROUP
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 05D2170296
  • Address: 2250 S MAIN ST
    SUITE 206
    CORONA, CA
    ZIP 92882
  • Phone: (951) 278-8870

Map and Directions

Get Directions

NPI Details

MISSION SURGICAL GROUP is a medical specialty clinic center in Corona, CA. The provider is 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). MISSION SURGICAL GROUP NPI is 1205289956. The provider is registered as an organization entity type.

The provider's business location address is:

2250 S MAIN ST
SUITE 206
CORONA, CA
ZIP 92882-534
Phone: (951) 278-8870
Fax: (951) 278-8913

The provider's authorized official is Manuel Porto .
The authorized official title is President and has the following contact phone number (714) 456-2986.

The CLIA number assigned to this NPI record is 05D2170296 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2016 and was last updated on 7/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI