Pacific Surgical Specialists Medical Group, Inc
NPI 1083885107ActiveOrganization· Specialist· La Jolla, CA
Specialist in La Jolla, California, registered in NPPES in March 2008. The authorized official on file is Mary K. Wilde, MD, President.
Overview
| NPI | 1083885107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Mar 17, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G65602 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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