O'TOOLE SURGICAL GROUP
NPI 1285207852
Plastic Surgery in Pasadena, CA

Active since July 21, 2021
542 S FAIR OAKS AVE FL 1, PASADENA, CA 91105(310) 792-3914(855) 898-4055 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2021, Jul 21, 2021 (2 updates tracked since 2021).

About O'toole Surgical Group NPPES

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

O'TOOLE SURGICAL GROUP (NPI 1285207852) is a healthcare organization registered as a plastic surgery in Pasadena, California and active in the NPI registry since July 2021. The organization lists Martin Andrew O'toole, Secretary, as its authorized official.

NPPES Registry Identity

NPI1285207852
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameOTOOLE SURGICAL GROUP
Location Address542 S FAIR OAKS AVE FL 1Pasadena, CA 91105-2606
Mailing AddressPo Box 3129Torrance, CA 90510-3129 · (310) 792-3914 · Fax (855) 898-4055
Fax(855) 898-4055
Organization SubpartNo
Authorized OfficialMartin Andrew O'tooleSecretary · (310) 792-3914
Enumeration DateJuly 21, 2021
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1285207852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgeryTaxonomy 208600000X
542 S FAIR OAKS AVE FL 1, Pasadena, CA 91105

Other Names 1

Doing Business AsO'toole Surgical Group

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

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)

O'toole Surgical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

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 IDO20211006000550Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to O'toole Surgical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Plastic and Reconstructive Surgery
NPI 1063504058
542 S FAIR OAKS AVE
Pasadena, CA 91105
(626) 449-8910
✔ PECOSSame address
General Surgery
NPI 1467795575
542 S FAIR OAKS AVE FL 1
Pasadena, CA 91105
(626) 449-8910
✔ 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 Otoole Surgical Group's NPI number?

The NPI number for Otoole Surgical Group is 1285207852. It was assigned to this organization in the NPPES registry on July 21, 2021. The provider is doing business as O'toole Surgical Group.

Where is Otoole Surgical Group located?

Otoole Surgical Group is located at 542 S Fair Oaks Ave Fl 1, Pasadena, CA 91105. The listed phone number is (310) 792-3914.

What is Otoole Surgical Group's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Otoole Surgical Group enrolled in Medicare?

Yes. Otoole Surgical Group is registered in the Medicare PECOS enrollment system.

When is Otoole Surgical Group'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 October 31, 2026. 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 Otoole Surgical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Otoole Surgical Group, in General Surgery and Plastic and Reconstructive Surgery. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Otoole Surgical Group was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.