INLAND VALLEY SURGERY CENTER LLC NPI 1184978637

NPI Information

  • NPI: 1184978637
  • Provider Name: INLAND VALLEY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 05D2057197
  • Address: 41900 WINCHESTER RD
    SUITE 102
    TEMECULA, CA
    ZIP 92590
  • Phone: (951) 461-6502

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NPI Details

INLAND VALLEY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Temecula, CA. INLAND VALLEY SURGERY CENTER, LLC NPI is 1184978637. The provider is registered as an organization entity type.

The provider's business location address is:

41900 WINCHESTER RD
SUITE 102
TEMECULA, CA
ZIP 92590-403
Phone: (951) 461-6502

The provider's authorized official is Paul Blacharski .
The authorized official title is Direct Owner and has the following contact phone number (951) 679-0400.

The CLIA number assigned to this NPI record is 05D2057197 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Removal of eye fluid (vitreous) between lens and retina (HCPCS:67036)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Exchange of prosthetic lens (HCPCS:66986)

The enumeration date for this NPI number is 11/6/2012 and was last updated on 3/11/2021.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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