West Coast Surgical Assistants
NPI 1417220609ActiveOrganization· Physician Assistant, Surgical· San Diego, CA
Physician Assistant, Surgical in San Diego, California, registered in NPPES in February 2012. The authorized official on file is Tommy Hammonds, Chief Executive Officer.
Overview
| NPI | 1417220609 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 17, 2012 |
| Last updated in NPPES | Feb 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | G69685 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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