MISSION SURGICAL CLINIC, INC.
NPI 1457300436
Surgery in Riverside, CA
About Mission Surgical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSION SURGICAL CLINIC, INC. (NPI 1457300436) is a healthcare organization registered as a surgery in Riverside, California and active in the NPI registry since May 2006. The organization lists Michael S. Chin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mission Surgical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Mission Surgical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mission Surgical Clinic, Inc.'s NPI number?
The NPI number for Mission Surgical Clinic, Inc. is 1457300436. It was assigned to this organization in the NPPES registry on May 8, 2006.
Where is Mission Surgical Clinic, Inc. located?
Mission Surgical Clinic, Inc. is located at 7300 Magnolia Ave, Riverside, CA 92504. The listed phone number is (951) 278-8870.
What is Mission Surgical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mission Surgical Clinic, Inc. enrolled in Medicare?
Yes. Mission Surgical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Mission Surgical Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mission Surgical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Mission Surgical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (10), Vascular Surgery (9) and Surgical Oncology (1). Of these, 7 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mission Surgical Clinic, Inc. was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mission Surgical Clinic, Inc. · NPI 1457300436
Surgery organization in Riverside, California. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1457300436 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Michael Chin, PRESIDENT
## Practice location
- **Address:** 7300 MAGNOLIA AVE, Riverside, CA 92504-3849
- **Phone:** (951) 278-8870 · **Fax:** (951) 278-8913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (10), Vascular Surgery (9), Surgical Oncology (1); 7 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2021
- **Other identifiers:** Medicaid 00G565290 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1457300436) · Data from the CMS NPPES public registry.