Olde del Mar Surgical Medical Group, Inc.
NPI 1649430661ActiveOrganization· Surgery· La Jolla, CA
Surgery in La Jolla, California, registered in NPPES in June 2008. The authorized official on file is Sunil Bhoyrul, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1649430661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2008 |
| Last updated in NPPES | Jun 22, 2026 |
| Certified by provider | Jun 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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