Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OLDE DEL MAR SURGICAL MEDICAL GROUP, INC.
NPI 1649430661
Surgery in La Jolla, CA

Q: What is Olde Del Mar Surgical Medical Group, Inc.'s specialty?

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

Active since June 12, 2008

9850 GENESEE AVE, SUITE 570, LA JOLLA, CA 92037(858) 457-4917 Get Directions Write a Review

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

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About Olde Del Mar Surgical Medical Group, Inc. NPPES

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

OLDE DEL MAR SURGICAL MEDICAL GROUP, INC. (NPI 1649430661) is a healthcare organization registered as a surgery in La Jolla, California and active in the NPI registry since June 2008. The organization maintains a secondary practice location in Coronado and lists Sunil Bhoyrul, President, as its authorized official.

NPPES Registry Identity

NPI1649430661

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameOLDE DEL MAR SURGICAL MEDICAL GROUP, INC.

Location Address9850 GENESEE AVE, SUITE 570La Jolla, CA 92037-1224

Mailing Address9850 Genesee Ave Ste 570La Jolla, CA 92037-1229 · (858) 457-4917

Phone(858) 457-4917

Organization SubpartNo

Authorized OfficialSunil BhoyrulPresident · (858) 457-4917

Enumeration DateJune 12, 2008

Last NPPES UpdateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1649430661 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.

9850 GENESEE AVE, La Jolla, CA 92037

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Secondary Practice Location 1

Location 1230 Prospect Pl Ste 310Coronado, CA 92118-1978 · Phone (619) 522-7118 · Fax (619) 522-7119

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 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 Olde Del Mar Surgical Medical Group, Inc.'s NPI number?

The NPI number for Olde Del Mar Surgical Medical Group, Inc. is 1649430661. It was assigned to this organization in the NPPES registry on June 12, 2008.

Where is Olde Del Mar Surgical Medical Group, Inc. located?

Olde Del Mar Surgical Medical Group, Inc. is located at 9850 Genesee Ave Suite 570, La Jolla, CA 92037. The listed phone number is (858) 457-4917.

What is Olde Del Mar Surgical Medical Group, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Olde Del Mar Surgical Medical Group, Inc. was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.