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PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC
NPI 1083885107
Specialist in La Jolla, CA

Active since March 17, 2008
9850 GENESEE AVE, 510, LA JOLLA, CA 92037(858) 623-2345(858) 623-2343 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Surgical Specialists Medical Group, Inc NPPES

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

PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC (NPI 1083885107) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since March 2008. The organization lists Mary K Wilde, President, as its authorized official.

NPPES Registry Identity

NPI1083885107
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC
Location Address9850 GENESEE AVE, 510La Jolla, CA 92037-1224
Mailing Address9850 Genesee Ave, 510La Jolla, CA 92037-1224 · (858) 623-2345 · Fax (858) 623-2343
Phone(858) 623-2345
Fax(858) 623-2343
Organization SubpartNo
Authorized OfficialMary K WildePresident · (858) 623-2345
Enumeration DateMarch 17, 2008
✔ NPI 1083885107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G65602
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9850 GENESEE AVE, La Jolla, CA 92037
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Other Identifiers 1

Medicare UPIND99817CA

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.

SUHAIR S. ERIKAT MFT
Marriage & Family Therapist
9850 GENESEE AVE, SUITE 970
LA JOLLA, CA 92037
San Diego County (858) 558-2731
DR. MARK C ADRIAN M.D.
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
RICHARD A.K. CHAFFOO, A PROFESSIONAL CORPORATION
Plastic Surgery
9850 GENESEE AVE, SUITE 330
LA JOLLA, CA 92037
San Diego County (858) 623-6333
MRS. KATHLEEN DYKES YOUNG MS
Clinical Exercise Physiologist
9850 GENESEE AVE, SUITE 730
LA JOLLA, CA 92037
San Diego County (858) 847-5064
YEVHENIYA KHROBUST FNP
Nurse Practitioner (Family)
9850 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 554-9100
DR. PAMILA K. BRAR M.D.
Internal Medicine
9850 GENESEE AVE, STE 570
LA JOLLA, CA 92037
San Diego County (858) 200-3007
PRIMA PRIMARY MEDICAL ASSOCIATION, INC
Internal Medicine
9850 GENESEE AVE, SUITE 355
LA JOLLA, CA 92037
San Diego County (858) 202-0011
MAHMOOD MAHDAVI M.D.
Otolaryngology
9850 GENESEE AVE, STE 710
LA JOLLA, CA 92037
San Diego County (858) 458-9955

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 Pacific Surgical Specialists Medical Group, Inc's NPI number?

The NPI number for Pacific Surgical Specialists Medical Group, Inc is 1083885107. It was assigned to this organization in the NPPES registry on March 17, 2008.

Where is Pacific Surgical Specialists Medical Group, Inc located?

Pacific Surgical Specialists Medical Group, Inc is located at 9850 Genesee Ave 510, La Jolla, CA 92037. The listed phone number is (858) 623-2345.

What is Pacific Surgical Specialists Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Pacific Surgical Specialists Medical Group, Inc was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.