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INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC
NPI 1083070494
Special Hospital in Corona, CA

Active since January 14, 2016CLIA 05D2314032 · Waiver
1902 FULLERTON AVE, SUITE 101, CORONA, CA 92881(310) 728-0494 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2024, Jul 13, 2023, Jan 14, 2016 (3 updates tracked since 2016).

About Inland Empire Minimally Invasive Surgery Institute Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC (NPI 1083070494) is a healthcare organization registered as a special hospital in Corona, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Michael Sedrak, Owner, as its authorized official.

NPPES Registry Identity

NPI1083070494
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameINLAND EMPIRE MINIMALLY INVASIVE SURGERY INSTITUTE INC
Location Address1902 FULLERTON AVE, SUITE 101Corona, CA 92881-3112
Mailing Address1902 Fullerton Ave, Suite 101Corona, CA 92881-3112 · (951) 479-8994
Phone(310) 728-0494
Organization SubpartNo
Authorized OfficialMichael SedrakOwner · (310) 728-0494
Enumeration DateJanuary 14, 2016
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1083070494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1902 FULLERTON AVE, Corona, CA 92881
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2314032

Inland Empire Minimally Invasive Surgery Institute · Corona, CA
Active · expires Nov 11, 2026
CLIA Number05D2314032
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorMichael F. Sedrak
Laboratory Phone(951) 479-8994
Laboratory LocationInland Empire Minimally Invasive Surgery Institute1902 Fullerton Ave Ste 101, Corona, CA 92881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inland Empire Minimally Invasive Surgery Institute Inc's NPI number?

The NPI number for Inland Empire Minimally Invasive Surgery Institute Inc is 1083070494. It was assigned to this organization in the NPPES registry on January 14, 2016.

Where is Inland Empire Minimally Invasive Surgery Institute Inc located?

Inland Empire Minimally Invasive Surgery Institute Inc is located at 1902 Fullerton Ave Suite 101, Corona, CA 92881. The listed phone number is (310) 728-0494.

What is Inland Empire Minimally Invasive Surgery Institute Inc's specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

Does Inland Empire Minimally Invasive Surgery Institute Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314032) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Inland Empire Minimally Invasive Surgery Institute Inc was last updated on June 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.