IDAHOSURGEONS NET PC
NPI 1295237022
Surgery - Trauma Surgery in San Diego, CA

Active since March 07, 2018
7910 FROST ST STE 250, SAN DIEGO, CA 92123(858) 565-0104(844) 213-3678 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2018, Mar 7, 2018 (2 updates tracked since 2018).

About Idahosurgeons Net Pc NPPES

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

IDAHOSURGEONS NET PC (NPI 1295237022) is a healthcare organization registered as a trauma surgery in San Diego, California and active in the NPI registry since March 2018. The organization lists John C. Mayberry, President, as its authorized official.

NPPES Registry Identity

NPI1295237022
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameIDAHOSURGEONS NET PC
Location Address7910 FROST ST STE 250San Diego, CA 92123-2752
Mailing Address7910 Frost St Ste 250San Diego, CA 92123-2752 · (858) 565-0104 · Fax (844) 213-3678
Fax(844) 213-3678
Organization SubpartNo
Authorized OfficialJohn C. MayberryPresident · (858) 565-0104
Enumeration DateMarch 7, 2018
Last NPPES UpdateMarch 22, 20182 updates tracked since enumeration
NPI 1295237022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
License Licensed in CA · G151173
Definition
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.
7910 FROST ST STE 250, San Diego, CA 92123

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
7910 FROST ST STE 250
SAN DIEGO, CA 92123
Internal Medicine
7910 FROST ST STE 250
SAN DIEGO, CA 92123
Surgery (Surgical Oncology)
7910 FROST ST STE 250
SAN DIEGO, CA 92123

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 Idahosurgeons Net PC's NPI number?

The NPI number for Idahosurgeons Net PC is 1295237022. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is Idahosurgeons Net PC located?

Idahosurgeons Net PC is located at 7910 Frost St Ste 250, San Diego, CA 92123. The listed phone number is (858) 565-0104.

What is Idahosurgeons Net PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

When was this NPI record last updated?

The NPPES record for Idahosurgeons Net PC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.