Inland Empire Surgical Group, LLC

NPI 1578873444ActiveOrganization· Surgery· Rancho Cucamonga, CA

Surgery in Rancho Cucamonga, California, registered in NPPES in October 2010. The authorized official on file is Maryam Roham, PHARMD, Administrator.

Overview

Taxonomy	Code	License	State
Surgery Primary	208600000X	—	CA
Oral & Maxillofacial Surgery	204E00000X	—	CA
Anesthesiology	207L00000X	—	—
Anesthesiology, Pain Medicine	207LP2900X	—	CA
Internal Medicine, Gastroenterology	207RG0100X	—	CA
Obstetrics & Gynecology	207V00000X	—	CA
Orthopaedic Surgery	207X00000X	—	CA
Otolaryngology	207Y00000X	—	CA
Plastic Surgery, Plastic Surgery Within the Head and Neck	2082S0099X	—	CA
Pain Medicine, Interventional Pain Medicine	208VP0014X	—	CA
Podiatrist	213E00000X	—	CA
Podiatrist, Radiology	213ER0200X	—	CA

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Enrollment (PECOS)	Not in the public enrollment file of Oct 1, 2026

Amanda Jo Khouri, MD
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Jacob Haiavy, M.D.
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The Wound Care Doctors
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Matthew Taiwo Abiola Ogbeide, MD
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