Surgical Associates of San Diego PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF SAN DIEGO PC

Practice address

625 W Citracado Pkwy
Suite 203
Escondido, CA 92025

Phone

(760) 739-7666

Fax

(760) 739-7633

NPI assigned

Mar 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anatoly J Bulkin, MD

Title

President

Phone

(760) 325-2612

Specialties & licenses 2

Addresses

Other names 1

• Stefan Moldovan MD PC dba Surgical Associates of San Diego Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shervin Alborzian, MD

  • Ophthalmology Physician
  • La Jolla, CA
  • NPI 1588825129

  Single Specialty

  NPD (past)
• Alexander Charles Salloum, MD

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1124176151
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1205897592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462079",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920462079",
            "telephone_number": "760-739-7666",
            "fax_number": "760-739-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W CITRACADO PKWY",
            "address_2": "SUITE 203",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-739-7666",
            "fax_number": "760-739-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SAN DIEGO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "BULKIN",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-325-2612",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stefan Moldovan MD PC dba Surgical Associates of San Diego",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stefan Moldovan MD PC dba Surgical Associates of San Diego",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura Ann Sundquist, MSW
• Raymond Y Sung, M.D.
• Sunshine Counseling LLC
• Joseph Suozzo, PSYCHOLOGIST
• Surgcenter of San Diego, LLC
• Kailee Surprise-Shaver
• Tina Lynn Sutherland
• Mary Suto
• Kersten Lea Sutter I, NA
• Sven Schild, PH.D., Psychologist, Inc.

• Surgery Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.