Olde Del Mar Surgical Medical Group, Inc.
NPI 1649430661 · Surgery Physician · La Jolla, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olde Del Mar Surgical Medical Group, Inc. is a Surgery Physician organization in La Jolla, CA (NPI 1649430661).
Provider details
- NPI number
- 1649430661
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sunil Bhoyrul, President(858) 457-4917
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
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 230 Prospect Pl Ste 340Coronado, CA 92118-1978Phone: (858) 457-4917Fax: (858) 646-0017
Registry dates
- Enumerated
- 2008-06-12
- Last updated
- 2022-10-13
- Certified
- 2022-10-13
Frequently asked questions
- What is Olde Del Mar Surgical Medical Group, Inc.'s NPI number?
- Olde Del Mar Surgical Medical Group, Inc.'s National Provider Identifier (NPI) is 1649430661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olde Del Mar Surgical Medical Group, Inc.?
- Olde Del Mar Surgical Medical Group, Inc. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Olde Del Mar Surgical Medical Group, Inc. located?
- Olde Del Mar Surgical Medical Group, Inc.'s practice location on file with NPPES is 9850 Genesee Ave, La Jolla, CA 92037-1224.
- What is Olde Del Mar Surgical Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Olde Del Mar Surgical Medical Group, Inc. is (858) 457-4917.
- Does Olde Del Mar Surgical Medical Group, Inc. accept Medicare?
- Olde Del Mar Surgical Medical Group, Inc. 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 Olde Del Mar Surgical Medical Group, Inc.?
- The authorized official listed on Olde Del Mar Surgical Medical Group, Inc.'s NPPES record is Sunil Bhoyrul, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olde Del Mar Surgical Medical Group, Inc.'s NPI active?
- Yes — Olde Del Mar Surgical Medical Group, Inc.'s NPI (1649430661) is active in the NPPES registry as of the last update on 2022-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.