Jeffrey Byron Mazin, M.D.,F.A.C.S.,INC.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G41431 Issued in CA

Practice address

3737 Moraga Ave
Steb412
San Diego, CA 92117-5404

Phone

(858) 272-9996

Fax

(858) 272-9959

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jmazin81315@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey B. Mazin,M.D.,F.a.C.S.,Inc.

  dba Hernia Surgical Specialists

  • Surgery Physician
  • San Diego, CA
  • NPI 1457448516
  Authorized official Same address or phone
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Carolyn E. Million, MD, PC

  • Specialist
  • San Francisco, CA
  • NPI 1710048475
  NPD (past)
• Center for Colorectal Health Inc

  • Colon & Rectal Surgery Physician
  • San Francisco, CA
  • NPI 1376844753
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316044373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175363",
            "telephone_number": "858-272-9996",
            "fax_number": "858-272-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "STEB412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-272-9996",
            "fax_number": "858-272-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZIN",
        "first_name": "JEFFREY",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.S.,INC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G41431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G414310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nida Mazel
• Theodore M. Mazer, M.D.
• Alejandra Mazi
• Mazin K Yaldo MD PC
• Daniel Mazin-Lugo
• Kiran Kaur Mazloom
• Jennifer Mazner, ASW
• Ashley Mazon
• Kassandra Mazon
• Melissa Marie Mazur, M.A. CCC-SLP

• Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.