MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION
NPI 1578947404
Surgery - Trauma Surgery in Riverside, CA

Q: What is Magnolia Acute Trauma, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Active since July 09, 2015

4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(469) 401-2386 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 30, 2023, Sep 19, 2022, Apr 20, 2021 and 2 more (5 updates tracked since 2017).

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About Magnolia Acute Trauma, A Medical Corporation NPPES

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

MAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION (NPI 1578947404) is a healthcare organization registered as a trauma surgery in Riverside, California and active in the NPI registry since July 2015. The organization lists Karen Vaughn, Officer, as its authorized official.

NPPES Registry Identity

NPI1578947404

Entity TypeOrganization

Primary Taxonomy2086S0127X

Legal Business NameMAGNOLIA ACUTE TRAUMA, A MEDICAL CORPORATION

Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135

Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563

Phone(469) 401-2386

Organization SubpartNo

Authorized OfficialKaren VaughnOfficer · (973) 251-1132

Enumeration DateJuly 9, 2015

Last NPPES UpdateMarch 30, 20235 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1578947404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

Definition

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.

4445 MAGNOLIA AVE, Riverside, CA 92501

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID W LEVINE PA-C

Physician Assistant