Olde del Mar Surgical Medical Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

OLDE DEL MAR SURGICAL MEDICAL GROUP, INC.

Practice address

9850 Genesee Ave
Suite 570
La Jolla, CA 92037-1224

Phone

(858) 457-4917

NPI assigned

Jun 12, 2008

Organization subpart

No

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

Authorized official

Name

Sunil Bhoyrul, MDNPI 1366559320

Title

President

Phone

(858) 457-4917

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Sunil Bhoyrul, M.D.

  • Surgery Physician
  • La Jolla, CA
  • NPI 1366559320
  Medicare reassignment Care Compare group Authorized official
• Pascal Gabriel Bortz, M.D

  • Surgery Physician
  • La Jolla, CA
  • NPI 1821330796
  Medicare reassignment Care Compare group NPD
• Kirsten Goshen, FNP

  • Family Nurse Practitioner
  • La Jolla, CA
  • NPI 1447795661
  Medicare reassignment Care Compare group NPD
• Michael C Morell, M.D.

  • Surgery Physician
  • La Crosse, WI
  • NPI 1225393176

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1649430661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-457-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-457-4917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Prospect Pl Ste 310",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181978",
            "country_code": "US",
            "telephone_number": "619-522-7118",
            "fax_number": "619-522-7119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLDE DEL MAR SURGICAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "BHOYRUL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-457-4917",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jennifer Oke, PH.D.
• Vivian Nkeiruka Okonta, DO
• Rossen Okov
• Danae Olaso
• Mark Vernon Olcott, MD
• Olivia K. DO, O.D., a Professional Optometric Corporation
• Martin Neil Olsen, D.C.
• Ashley Olson
• Cheryl Lorraine Olson, M.D.
• Linda Olson, M.D.

• Surgery Physician in La Jolla, CA
• Providers in La Jolla, 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 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.