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SOCAL ACADEMIC SURGICAL CONSULTANTS INC
NPI 1689550055
Surgery in Colton, CA

Active since August 12, 2025
400 N PEPPER AVE STE 308, COLTON, CA 92324(646) 770-4660 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Socal Academic Surgical Consultants Inc NPPES

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

SOCAL ACADEMIC SURGICAL CONSULTANTS INC (NPI 1689550055) is a healthcare organization registered as a surgery in Colton, California and active in the NPI registry since August 2025. The organization lists Amir Ali Rahnemai Azar, President, as its authorized official.

NPPES Registry Identity

NPI1689550055
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOCAL ACADEMIC SURGICAL CONSULTANTS INC
Location Address400 N PEPPER AVE STE 308Colton, CA 92324-1801
Mailing AddressPo Box 123Pasadena, CA 91102-0123
Phone(646) 770-4660
Organization SubpartNo
Authorized OfficialAmir Ali Rahnemai AzarPresident · (646) 770-4660
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 11, 2025
✔ NPI 1689550055 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.
400 N PEPPER AVE STE 308, Colton, CA 92324
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Socal Academic Surgical Consultants Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Socal Academic Surgical Consultants Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amir Ali Rahnemai Azar, M.D.
Surgical Oncology
NPI 1023339496
PO BOX 123
Pasadena, CA 91102
(310) 571-5430
✔ PECOS✔ Accepts Medicare58 mi

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 Socal Academic Surgical Consultants Inc's NPI number?

The NPI number for Socal Academic Surgical Consultants Inc is 1689550055. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Socal Academic Surgical Consultants Inc located?

Socal Academic Surgical Consultants Inc is located at 400 N Pepper Ave Ste 308, Colton, CA 92324. The listed phone number is (646) 770-4660.

What is Socal Academic Surgical Consultants Inc's specialty?

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

Is Socal Academic Surgical Consultants Inc enrolled in Medicare?

Yes. Socal Academic Surgical Consultants Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Socal Academic Surgical Consultants Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Surgical Oncology) reassigns their Medicare billing to Socal Academic Surgical Consultants Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Socal Academic Surgical Consultants Inc was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.