SOUTHWEST TRAUMA NPI 1669545778

NPI Information

  • NPI: 1669545778
  • Provider Name: SOUTHWEST TRAUMA
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Organization
  • CLIA Number: 05D0692972
  • Address: 25500 MEDICAL CENTER DR
    MURRIETA, CA
    ZIP 92562
  • Phone: (951) 696-6000

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NPI Details

SOUTHWEST TRAUMA is a trauma surgery surgery in Murrieta, CA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. SOUTHWEST TRAUMA NPI is 1669545778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25500 MEDICAL CENTER DR
MURRIETA, CA
ZIP 92562-965
Phone: (951) 696-6000
Fax: (951) 296-6149

The provider's authorized official is Fetus Dada .
The authorized official title is President and has the following contact phone number (951) 973-7380.

The CLIA number assigned to this NPI record is 05D0692972 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 4/20/2008.

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
12086S0127XSurgeryTrauma SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERCALIFORNIATAX ID

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: 3/30/2025

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