SOUTHERN CALIFORNIA COLON AND RECTAL MEDICAL GROUP INC
NPI 1013013770
Colon & Rectal Surgery in Laguna Hills, CA

Active since September 16, 2006
23961 CALLE MAGDALENA, #231, LAGUNA HILLS, CA 92653(949) 609-0500(949) 609-0504 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southern California Colon And Rectal Medical Group Inc NPPES

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

SOUTHERN CALIFORNIA COLON AND RECTAL MEDICAL GROUP INC (NPI 1013013770) is a healthcare organization registered as a colon & rectal surgery in Laguna Hills, California and active in the NPI registry since September 2006. The organization lists Gene L Syn, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1013013770
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameSOUTHERN CALIFORNIA COLON AND RECTAL MEDICAL GROUP INC
Location Address23961 CALLE MAGDALENA, #231Laguna Hills, CA 92653
Mailing Address23961 Calle Magdalena, #231Laguna Hills, CA 92653 · (949) 609-0500 · Fax (949) 609-0504
Fax(949) 609-0504
Organization SubpartNo
Authorized OfficialGene L SynCeo/president · (949) 609-0500
Enumeration DateSeptember 16, 2006
Last NPPES UpdateOctober 16, 2007
✔ NPI 1013013770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in CA · G79692
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
23961 CALLE MAGDALENA, Laguna Hills, CA 92653

Other Identifiers 3

Medicare PINW15973ACA
Medicare PINW15973CA
Medicare UPING69030

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern California Colon And Rectal Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040615001419Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern California Colon And Rectal Medical Group Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Colorectal Surgery (Proctology)
NPI 1487842720
23961 CALLE DE LA MAGDALENA SUITE 231
Laguna Hills, CA 92653
(949) 609-0500
✔ 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 Southern California Colon And Rectal Medical Group Inc's NPI number?

The NPI number for Southern California Colon And Rectal Medical Group Inc is 1013013770. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Southern California Colon And Rectal Medical Group Inc located?

Southern California Colon And Rectal Medical Group Inc is located at 23961 Calle Magdalena #231, Laguna Hills, CA 92653. The listed phone number is (949) 609-0500.

What is Southern California Colon And Rectal Medical Group Inc's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Southern California Colon And Rectal Medical Group Inc enrolled in Medicare?

Yes. Southern California Colon And Rectal Medical Group Inc is registered in the Medicare PECOS enrollment system.

When is Southern California Colon And Rectal Medical Group 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 January 31, 2027. 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 Southern California Colon And Rectal Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Southern California Colon And Rectal 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 Southern California Colon And Rectal Medical Group Inc was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.