OC TRAUMA INC – NPI #1720516628
Surgery

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.

OC TRAUMA INC is a surgeon located in MISSION VIEJO, CA. NPPES has assigned the NPI number 1720516628 to OC TRAUMA INC on May 23, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0127X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Trauma Surgery

The NPI profile was last updated on Feb 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OC TRAUMA INC below.

NPI Profile for
OC TRAUMA INC

NPI Number
1720516628
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OC TRAUMA INC
Primary location
26732 CROWN VALLEY PKWY STE 440
MISSION VIEJO, CA 92691-6306
Phone: (949) 364-1007 Fax: (949) 588-8719
1 Other location(s):
24411 Health Center Dr Ste 350
Laguna Hills, CA 92653-3687
Phone: (949) 457-7900
Fax: (949) 588-8719
Mailing address
Same as primary location
Organization Subpart
Yes - OC TRAUMA INC is subpart of another organization.
Authorized Official
WILLIAM WALLACE
CEO
Phone: (949) 457-7913
Updated
Certification Date
Feb 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for OC TRAUMA INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherPTANCACB281893
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0127X
- Surgery / Trauma Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.