Oc Trauma Inc
NPI 1720516628ActiveOrganization· Surgery, Trauma Surgery· Mission Viejo, CA
Surgery, Trauma Surgery in Mission Viejo, California, registered in NPPES in May 2017, part of South Orange County Surgical Medical Group, Inc. The authorized official on file is William Campbell Wallace, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720516628 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Orange County Surgical Medical Group, Inc. |
| NPI issued | May 23, 2017 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
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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