PAC NEURO INC
NPI 1700821915
Neurological Surgery in San Diego, CA

Active since June 19, 2006
3590 CAMINO DEL RIO NO., SUITE# 200, SAN DIEGO, CA 92108(619) 810-1010(619) 810-1011 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Dec 8, 2021, Mar 4, 2021 and 1 more (4 updates tracked since 2018).

About Pac Neuro Inc NPPES

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

PAC NEURO INC (NPI 1700821915) is a healthcare organization registered as a neurological surgery in San Diego, California and active in the NPI registry since June 2006. The organization maintains a secondary practice location in San Diego and lists Sanjay Ghosh, President, as its authorized official.

NPPES Registry Identity

NPI1700821915
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePAC NEURO INC
Location Address3590 CAMINO DEL RIO NO., SUITE# 200San Diego, CA 92108-1716
Mailing Address3590 Camino Del Rio No., Suite# 200San Diego, CA 92108-1716 · (619) 810-1010 · Fax (619) 810-1011
Fax(619) 810-1011
Organization SubpartNo
Authorized OfficialSanjay GhoshPresident · (619) 810-1010
Enumeration DateJune 19, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1700821915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
3590 CAMINO DEL RIO NO., San Diego, CA 92108

Secondary Practice Location 1

Location 16645 Alvarado Rd, SUITE# 4000San Diego, CA 92120-5208 · Phone (619) 229-3105 · Fax (619) 229-3127

Other Identifiers 1

Medicaid00A625630CA

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)

Pac Neuro Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pac Neuro Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Neurosurgery
NPI 1922023720
4060 4TH AVE STE 508
San Diego, CA 92103
(619) 684-7085
✔ PECOS✔ Accepts Medicare3.3 mi
Neurosurgery
NPI 1396974424
11199 SORRENTO VALLEY RD STE 203
San Diego, CA 92121
(858) 441-0100
✔ PECOS✔ Accepts Medicare11 mi
Neurosurgery
NPI 1093959108
11199 SORRENTO VALLEY RD STE 203
San Diego, CA 92121
(619) 566-0640
✔ PECOS✔ Accepts Medicare11 mi
Neurosurgery
NPI 1073817268
835 S VAN BUREN ST
Green Bay, WI 54301
(920) 433-0111
✔ PECOS1,757 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 Pac Neuro Inc's NPI number?

The NPI number for Pac Neuro Inc is 1700821915. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Pac Neuro Inc located?

Pac Neuro Inc is located at 3590 Camino Del Rio No. Suite# 200, San Diego, CA 92108. The listed phone number is (619) 810-1010.

What is Pac Neuro Inc's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Pac Neuro Inc enrolled in Medicare?

Yes. Pac Neuro Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pac Neuro Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Neurosurgery, reassign their Medicare billing to Pac Neuro 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pac Neuro Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.