NPIMap

Individual provider Active NPI

Pascal Gabriel Bortz, M.D

  • Surgery Physician
  • La Jolla, CA
National Provider Identifier
1821330796
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A139519 Issued in CA
Practice address
9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone
(858) 405-2650
NPI assigned
Mar 19, 2013
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 298754 NY
Surgery Physician 208600000X A139519 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229

Mailing address

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone (858) 457-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190802000445 NY Practitioner - General Surgery 6901132687 Reassigns benefits to 3 organizations
I20200916002919 CA Practitioner - General Surgery 6901132687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Olde del Mar Surgical Medical Group IncGroup PAC ID 6800957374, 4 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

9850 Genesee Ave
Suite 570
La Jolla, CA 92037-1229
Phone (858) 457-4917

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux19
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139519CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jul 22, 2019 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York Community Hospital of Brooklyn Inc CurrentSince Mar 17, 2020 Accepting new patients
Maimonides Medical Center General Surgery FPP Surgery CurrentSince Jul 22, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
New York Community Hospital of Brooklyn Inc Current Accepting new patients
Olde del Mar Surgical Medical Group, Inc. Surgery CurrentSince Sep 10, 2020 Accepting new patients
Maimonides Medical Center Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
MMC Surgical Oncology Associates Past Accepting new patients
United Medical Doctors Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

230 Prospect Pl
Ste 340
Coronado, CA 92118
Phone (619) 522-4005

9850 Genesee Ave
Ste 570
La Jolla, CA 92037
Phone (858) 457-4917

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pascalbortz@mai.allscriptsdirect.net
  • Direct secure messaging: pbortz388824@scrippshlth.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1821330796",
    "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 STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-405-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTZ",
        "first_name": "PASCAL",
        "middle_name": "GABRIEL",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "298754",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A139519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.