OrganizationActive
Pacific Surgical Specialists Medical Group, Inc
NPI 1083885107 · Specialist · La Jolla, CA
Pacific Surgical Specialists Medical Group, Inc is a Specialist organization in La Jolla, CA (NPI 1083885107).
Provider details
- NPI number
- 1083885107
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mary Wilde, President(858) 623-2345
- License
- G65602 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9850 Genesee Ave
510
La Jolla, CA 92037-1224
Phone: (858) 623-2345
Fax: (858) 623-2343
Street-level locationGet directions
Mailing address
9850 Genesee Ave
La Jolla, CA 92037-1224
Registry dates
- Enumerated
- 2008-03-17
- Last updated
- 2008-03-17
Frequently asked questions
- What is Pacific Surgical Specialists Medical Group, Inc's NPI number?
- Pacific Surgical Specialists Medical Group, Inc's National Provider Identifier (NPI) is 1083885107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Surgical Specialists Medical Group, Inc?
- Pacific Surgical Specialists Medical Group, Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Pacific Surgical Specialists Medical Group, Inc located?
- Pacific Surgical Specialists Medical Group, Inc's practice location on file with NPPES is 9850 Genesee Ave, La Jolla, CA 92037-1224.
- What is Pacific Surgical Specialists Medical Group, Inc's phone number?
- The practice phone number listed in the NPPES registry for Pacific Surgical Specialists Medical Group, Inc is (858) 623-2345.
- Who is the authorized official for Pacific Surgical Specialists Medical Group, Inc?
- The authorized official listed on Pacific Surgical Specialists Medical Group, Inc's NPPES record is Mary Wilde, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Surgical Specialists Medical Group, Inc's NPI active?
- Yes — Pacific Surgical Specialists Medical Group, Inc's NPI (1083885107) is active in the NPPES registry as of the last update on 2008-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.