Pristine Surgical Incorporated
NPI 1336648500 · Surgery Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pristine Surgical Incorporated is a Surgery Physician organization in San Diego, CA (NPI 1336648500).
Provider details
- NPI number
- 1336648500
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Vadim Avulov, President(917) 602-4507
- License
- 20A13344 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-02-02
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Pristine Surgical Incorporated's NPI number?
- Pristine Surgical Incorporated's National Provider Identifier (NPI) is 1336648500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pristine Surgical Incorporated?
- Pristine Surgical Incorporated is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pristine Surgical Incorporated located?
- Pristine Surgical Incorporated's practice location on file with NPPES is 6699 Alvarado Rd Ste 2309, San Diego, CA 92120-5241.
- What is Pristine Surgical Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Pristine Surgical Incorporated is (619) 396-6637.
- Does Pristine Surgical Incorporated accept Medicare?
- Pristine Surgical Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pristine Surgical Incorporated?
- The authorized official listed on Pristine Surgical Incorporated's NPPES record is Vadim Avulov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pristine Surgical Incorporated's NPI active?
- Yes — Pristine Surgical Incorporated's NPI (1336648500) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.