NPIMap

Organization Active NPI

Jeffrey B. Mazin,M.D.,F.a.C.S.,Inc.

Doing business as Hernia Surgical Specialists

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1457448516
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G41431 Issued in CA
Legal business name
JEFFREY B. MAZIN,M.D.,F.A.C.S.,INC.
Doing business as
Hernia Surgical Specialists
Practice address
3737 Moraga Ave
Suite B 412
San Diego, CA 92117-5404
Phone
(858) 272-9996
Fax
(858) 272-9959
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Jeffrey Byron Mazin, M.D.NPI 1316044373
Title
President
Phone
(858) 272-9996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G41431 CA Primary

Addresses

Primary practice location

3737 Moraga Ave
Suite B 412
San Diego, CA 92117-5404

Mailing address

3737 Moraga Ave
Suite B 412
San Diego, CA 92117-5404
Phone (858) 272-9996

Other identifiers 1

IdentifierTypeStateIssuer
00G414310MedicaidCA

Other names 1

  • Hernia Surgical Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1457448516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE",
            "address_2": "SUITE B 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "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": "SUITE B 412",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175404",
            "telephone_number": "858-272-9996",
            "fax_number": "858-272-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. MAZIN,M.D.,F.A.C.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MAZIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-272-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G41431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G414310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernia Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.