1. Home
  2. Directory
  3. California
  4. La Mesa
  5. Surgery
  6. NPI Profile

SOUTHERN CALIFORNIA SURGICAL INC
NPI 1861014599
Surgery in La Mesa, CA

Active since May 15, 2020
8554 LA MESA BLVD, LA MESA, CA 91942(619) 464-4469(619) 713-0479 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern California Surgical Inc NPPES

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

SOUTHERN CALIFORNIA SURGICAL INC (NPI 1861014599), doing business as Southen California Surgical Inc, is a healthcare organization registered as a surgery in La Mesa, California and active in the NPI registry since May 2020. The organization lists Jeffrey Wannares, President, as its authorized official.

NPPES Registry Identity

NPI1861014599
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSOUTHERN CALIFORNIA SURGICAL INC
Location Address8554 LA MESA BLVDLa Mesa, CA 91942-9558
Mailing Address6415 Reflection Dr Apt 206San Diego, CA 92124-3167 · (508) 898-0986 · Fax (619) 330-2245
Phone(619) 464-4469
Fax(619) 713-0479
Organization SubpartNo
Authorized OfficialJeffrey WannaresPresident · (508) 898-0986
Enumeration DateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1861014599 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.
8554 LA MESA BLVD, La Mesa, CA 91942
Open in Google Maps ↗

Other Names 1

Former Legal Business NameSouthen California Surgical Inc

Other Identifiers 2

Medicaid1851728141CA
Other1851728141CA · Medicare

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.

SINAFIKISH T TESSEMA NP
Nurse Practitioner (Women's Health)
8554 LA MESA BLVD
LA MESA, CA 91942
San Diego County (619) 246-2827
DR. JEFFREY WANNARES
Surgery
8554 LA MESA BLVD
LA MESA, CA 91942
San Diego County (619) 698-4471
LA MESA SURGICAL SERVICES
Specialist
8554 LA MESA BLVD
LA MESA, CA 91942
San Diego County (619) 464-4469

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 Southern California Surgical Inc's NPI number?

The NPI number for Southern California Surgical Inc is 1861014599. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider was formerly known as Southen California Surgical Inc.

Where is Southern California Surgical Inc located?

Southern California Surgical Inc is located at 8554 La Mesa Blvd, La Mesa, CA 91942. The listed phone number is (619) 464-4469.

What is Southern California Surgical 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 Southern California Surgical Inc was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.