1. Home
  2. Directory
  3. California
  4. San Diego
  5. Surgery
  6. NPI Profile

PACIFIC COAST SURGICAL GROUP
NPI 1326370677
Surgery in San Diego, CA

Active since February 10, 2010CLIA 05D2194756 · Waiver
4033 3RD AVE, SUITE204, SAN DIEGO, CA 92103(619) 295-8677(619) 295-7935 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacific Coast Surgical Group NPPES

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

PACIFIC COAST SURGICAL GROUP (NPI 1326370677) is a healthcare organization registered as a surgery in San Diego, California and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Dennis Edward Mayer, Partner, as its authorized official.

NPPES Registry Identity

NPI1326370677
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePACIFIC COAST SURGICAL GROUP
Location Address4033 3RD AVE, SUITE204San Diego, CA 92103-2117
Mailing Address4033 3rd Ave, Suite204San Diego, CA 92103-2117 · (619) 295-8677 · Fax (619) 295-7935
Phone(619) 295-8677
Fax(619) 295-7935
Organization SubpartNo
Authorized OfficialDennis Edward MayerPartner · (619) 295-8677
Enumeration DateFebruary 10, 2010
✔ NPI 1326370677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

4033 3RD AVE, San Diego, CA 92103
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2194756

Pacific Coast Surgical Group · San Diego, CA
Active · expires Oct 1, 2026
CLIA Number05D2194756
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorBret J. Langenberg
Laboratory Phone(619) 295-8677
Laboratory LocationPacific Coast Surgical Group4033 3rd Ave Suite 204, San Diego, CA 92103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

PIERRE G. RIVET MD
Otolaryngology
4033 3RD AVE, SUITE 104
SAN DIEGO, CA 92103
San Diego County (619) 294-2350
NATHALIE LAURA RAMIREZ AGACNP-BC
Nurse Practitioner (Acute Care)
4033 3RD AVE
SAN DIEGO, CA 92103
San Diego County (619) 297-5600
DR. JAMES R. HEMP M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4033 3RD AVE, SUITE 210
SAN DIEGO, CA 92103
San Diego County (619) 297-5600
JACK C YANG MD A MEDICAL CORPORATION
Surgery (Vascular Surgery)
4033 3RD AVE, SUITE 204
SAN DIEGO, CA 92103
San Diego County (619) 255-1440
DANNY LEE KEILLER M.D.
Urology
4033 3RD AVE, SUITE 400
SAN DIEGO, CA 92103
San Diego County (619) 299-0670
EVAN M VAPNEK MD & JAMES L ROBERTS MD, A MEDICAL GROUP
Urology
4033 3RD AVE, SUITE 400
SAN DIEGO, CA 92103
San Diego County (619) 299-0670
MR. JONATHAN M LICHT MD
Psychiatry & Neurology (Neurology)
4033 3RD AVE, SUITE 206
SAN DIEGO, CA 92103
San Diego County (619) 294-9292
CYNTHIA CRIST MSN, FNP, APRN-BC
Nurse Practitioner (Family)
4033 3RD AVE, SUITE 300
SAN DIEGO, CA 92103
San Diego County (619) 299-2570

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 Coast Surgical Group's NPI number?

The NPI number for Pacific Coast Surgical Group is 1326370677. It was assigned to this organization in the NPPES registry on February 10, 2010.

Where is Pacific Coast Surgical Group located?

Pacific Coast Surgical Group is located at 4033 3rd Ave Suite204, San Diego, CA 92103. The listed phone number is (619) 295-8677.

What is Pacific Coast Surgical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Pacific Coast Surgical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2194756) is associated with this NPI, valid through October 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Coast Surgical Group was last updated on February 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.