MISSION SURGICAL GROUP NPI 1780037432

NPI Information

  • NPI: 1780037432
  • Provider Name: MISSION SURGICAL GROUP
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 36243 INLAND VALLEY DR
    SUITE 280
    WILDOMAR, CA
    ZIP 92595
  • Phone: (951) 278-8870

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NPI Details

MISSION SURGICAL GROUP is a medical specialty clinic center in Wildomar, 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 1780037432. The provider is registered as an organization entity type.

The provider's business location address is:

36243 INLAND VALLEY DR
SUITE 280
WILDOMAR, CA
ZIP 92595-549
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 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

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