CROWN SURGERY MEDICAL GROUP
NPI 1477622587
Surgery in Murrieta, CA

Q: What is Crown Surgery Medical Group Inc's NPI number?

The NPI number for Crown Surgery Medical Group Inc is 1477622587. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Crown Surgery Medical Group.

Q: What is Crown Surgery Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since November 06, 2006

25470 MEDICAL CENTER DR, SUITE 203, MURRIETA, CA 92562(951) 973-7290(951) 973-7299 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Crown Surgery Medical Group NPPES

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

CROWN SURGERY MEDICAL GROUP (NPI 1477622587) is a healthcare organization registered as a surgery in Murrieta, California and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Corona and lists Fetus Dada, President, as its authorized official.

NPPES Registry Identity

NPI1477622587

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCROWN SURGERY MEDICAL GROUP INC

Location Address25470 MEDICAL CENTER DR, SUITE 203Murrieta, CA 92562-4900

Mailing Address25470 Medical Center Dr, Suite 203Murrieta, CA 92562-4900 · (951) 973-7290 · Fax (951) 973-7299

Phone(951) 973-7290

Fax(951) 973-7299

Organization SubpartNo

Authorized OfficialFetus DadaPresident · (951) 973-7290

Enumeration DateNovember 6, 2006

Last NPPES UpdateFebruary 17, 2020

✔ NPI 1477622587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

25470 MEDICAL CENTER DR, Murrieta, CA 92562

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Other Names 1

Doing Business AsCrown Surgery Medical Group

Secondary Practice Location 1

Location 12250 S Main St Ste 209Corona, CA 92882-2507 · Phone (951) 736-0696 · Fax (951) 973-7299

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crown Surgery Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crown Surgery Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Festus Dada, M.D.

General Surgery

NPI 1184632606

25470 MEDICAL CENTER DR SUITE 203
Murrieta, CA 92562

(951) 973-7290

✔ PECOS✔ Accepts MedicareSame address

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 Crown Surgery Medical Group Inc's NPI number?

The NPI number for Crown Surgery Medical Group Inc is 1477622587. It was assigned to this organization in the NPPES registry on November 6, 2006. The provider is doing business as Crown Surgery Medical Group.

Where is Crown Surgery Medical Group Inc located?

Crown Surgery Medical Group Inc is located at 25470 Medical Center Dr Suite 203, Murrieta, CA 92562. The listed phone number is (951) 973-7290.

What is Crown Surgery Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Crown Surgery Medical Group Inc enrolled in Medicare?

Yes. Crown Surgery Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crown Surgery Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Crown Surgery Medical Group 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crown Surgery Medical Group Inc was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.