Mission Surgical Clinic, Inc.
NPI 1457300436ActiveOrganization· Surgery· Riverside, CA
Surgery in Riverside, California, registered in NPPES in May 2006. The authorized official on file is Michael S. Chin, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457300436 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Dec 28, 2021 |
| Certified by provider | Dec 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | G56529 | CA |
| Surgery | 208600000X | 20A10803 | CA |
| Surgery | 208600000X | G75730 | CA |
| Surgery | 208600000X | 20A9434 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA16804 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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