SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP
NPI 1871593079
Surgery in Mission Viejo, CA

Active since July 28, 2005CLIA 05D0580535 · Waiver
26732 CROWN VALLEY PKWY, SUITE 351, MISSION VIEJO, CA 92691(949) 364-1007(949) 364-0317 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Saddleback Valley Surgical-medical Group NPPES

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

SADDLEBACK VALLEY SURGICAL-MEDICAL GROUP (NPI 1871593079) is a healthcare organization registered as a surgery in Mission Viejo, California and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Annette Hansen, Bus Admin, as its authorized official.

NPPES Registry Identity

NPI1871593079
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSADDLEBACK VALLEY SURGICAL-MEDICAL GROUP
Location Address26732 CROWN VALLEY PKWY, SUITE 351Mission Viejo, CA 92691-6306
Mailing Address26732 Crown Valley Pkwy, Suite 351Mission Viejo, CA 92691-6306 · (949) 364-1007 · Fax (949) 364-0317
Fax(949) 364-0317
Organization SubpartNo
Authorized OfficialAnnette HansenBus Admin · (949) 364-1007
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 15, 2010
NPI 1871593079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · W1452
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.
26732 CROWN VALLEY PKWY, Mission Viejo, CA 92691

Other Identifiers 2

MedicaidZZZ71131ZCA
Medicare ID-Type UnspecifiedW1452CA

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

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 05D0580535

Saddleback Valley Surgical Med Grp · Mission Viejo, CA
Active · expires Aug 31, 2026
CLIA Number05D0580535
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn K. Shaver
Laboratory Phone(949) 364-1007
Laboratory LocationSaddleback Valley Surgical Med Grp26732 Crown Valley Pky Suite 351, Mission Viejo, CA 92691
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Specialist
26732 CROWN VALLEY PKWY, SUITE 585
MISSION VIEJO, CA 92691
Surgery (Plastic and Reconstructive Surgery)
26732 CROWN VALLEY PKWY, SUITE 381
MISSION VIEJO, CA 92691
Pediatrics
26732 CROWN VALLEY PKWY, STE 571
MISSION VIEJO, CA 92691
Podiatrist (Foot & Ankle Surgery)
26732 CROWN VALLEY PKWY, 317
MISSION VIEJO, CA 92691
Technician/Technologist
26732 CROWN VALLEY PKWY
MISSION VIEJO, CA 92691
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 541
MISSION VIEJO, CA 92691
Registered Nurse
26732 CROWN VALLEY PKWY, SUITE 351
MISSION VIEJO, CA 92691
Neurological Surgery
26732 CROWN VALLEY PKWY, SUITE 561
MISSION VIEJO, CA 92691

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 Saddleback Valley Surgical-Medical Group's NPI number?

The NPI number for Saddleback Valley Surgical-Medical Group is 1871593079. It was assigned to this organization in the NPPES registry on July 28, 2005.

Where is Saddleback Valley Surgical-Medical Group located?

Saddleback Valley Surgical-Medical Group is located at 26732 Crown Valley Pkwy Suite 351, Mission Viejo, CA 92691. The listed phone number is (949) 364-1007.

What is Saddleback Valley Surgical-Medical Group's specialty?

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

Does Saddleback Valley Surgical-Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0580535) is associated with this NPI, valid through August 31, 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 Saddleback Valley Surgical-Medical Group was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.