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Premier Surgical Associates INC

Surgery in Hemet, CA. Organization (NPI-2).

NPI number1811200538
StatusActive
Last updated in NPPESAug 10, 2010

Details

NPI
1811200538
Entity type
Organization (NPI-2)
Legal business name
Premier Surgical Associates INC
Organization subpart
No
Enumeration date
Jul 22, 2010
Last updated
Aug 10, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryA88275CAYes

Practice location

1280 E Latham Ave
Hemet, CA 92543-4445

Phone 951-766-1222 · Fax 951-766-1226

Mailing address

1280 E Latham Ave
Hemet, CA 92543-4445

Phone 951-766-1222 · Fax 951-766-1226

Authorized official

David S Johnson
President
9517661222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Hemet, CA

All 10 Surgery Physician providers in Hemet · All 2,251 providers in Hemet

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