PACIFIC PROFESSIONAL SURGICAL GROUP INC
NPI 1578341608
Surgery - Trauma Surgery in Riverside, CA

NPI Status: Active since September 19, 2023

Contact Information

4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA
ZIP 92505
Phone: (951) 781-3672

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  • Organization
  • Surgery
  • Trauma Surgery

About PACIFIC PROFESSIONAL SURGICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Pacific Professional Surgical Group Inc, a provider established in Riverside, California operating as a Surgery, focusing in trauma surgery . The healthcare provider is registered in the NPI registry with number 1578341608 assigned on September 2023. The practitioner's primary taxonomy code is 2086S0127X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ahmed El-bershawi Md (President)

NPI
1578341608
Provider Name
PACIFIC PROFESSIONAL SURGICAL GROUP INC
Entity Type
Organization
Location Address
4234 RIVERWALK PKWY STE 230 RIVERSIDE, CA 92505
Location Phone
(951) 781-3672
Mailing Address
4 HUGHES STE 100 IRVINE, CA 92618
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2023
Last Update Date
09-19-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Trauma Surgery

Taxonomy Code
2086S0127X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AHMED EL-BERSHAWI MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(949) 874-9071

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578341608
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514864260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 6 + 4 + 2 + 6 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1578341608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750424248 RYAN JUNSAY PA-C
Individual
Physician Assistant (Medical)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1659899813 JENNIFER CRYSTAL LIEVANOS PA-C
Individual
Physician Assistant4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1154471514 JUDY VO ALFONSO PA-C
Individual
Physician Assistant4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1841774817 BLESSY SABU AGAC-NP
Individual
Nurse Practitioner (Acute Care)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1316460249MR. SAMMY LEI PA-C
Individual
Physician Assistant4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1124394135 ANITA BHAGAVATH M.D
Individual
Internal Medicine (Pulmonary Disease)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 373-5826
1407273600 MINDY TRUC BUI DO
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1154631687MS. CYNTHIA RANETTE PITCHFORD ACNP
Individual
Nurse Practitioner (Acute Care)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1881085207 MOHAMMAD MALEKZADEGAN
Individual
Internal Medicine (Pulmonary Disease)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 373-5819
1598076093DR. ASAD JAVED MEDICAL DOCTOR
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 373-5819
1861758823DR. ROHIT HEMANT GODBOLE M.D.
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 373-5819
1194037945DR. AHMAD ALAZZEH MD
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1336447689MR. XAVIER FERNANDO VARELA PA-C
Individual
Physician Assistant (Medical)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1033599469DR. SAHAR HAMIDY OSMAN M.D.
Individual
Psychiatry & Neurology (Neurocritical Care)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1871905257DR. FARAZ AFRIDI MD
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1124412275 MATTHEW BLAKE WARREN MD
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1053709071DR. MONA ALIPOUR M.D
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1376906347DR. SUNIL RAJANNA RAMASWAMY M.D.
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1972843415 LIEN-KHUONG PHAM TRAN M.D.
Individual
Internal Medicine (Critical Care Medicine)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672
1902338585DR. SCOTT JEFFREY ANDERSON M.D.
Individual
Internal Medicine (Pulmonary Disease)4234 RIVERWALK PKWY STE 230
RIVERSIDE, CA 92505
(951) 781-3672

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578341608, enumerated in the NPI registry as an "organization" on September 19, 2023

The provider is located at 4234 Riverwalk Pkwy Ste 230 Riverside, Ca 92505 and the phone number is (951) 781-3672

This medical organization specializes in Surgery with taxonomy code 2086S0127X with a focus in Trauma Surgery

This NPI record was last updated on September 19, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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