Organization Active NPI

Entersurg PC

  • Multi-Specialty Clinic/Center
  • Fallbrook, CA
National Provider Identifier
1831806405
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ENTERSURG PC
Practice address
591 E Elder St Ste B
Fallbrook, CA 92028-5001
Phone
(858) 304-0117
Fax
(760) 309-9119
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Devin Stephen Zarkowsky, MDNPI 1689925844
Title
Founder
Phone
(858) 304-0117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

591 E Elder St Ste B
Fallbrook, CA 92028-5001

Mailing address

PO Box 5000
PMB 54
Rancho Santa Fe, CA 92067
Phone (720) 705-0682

Other practice location 1

8273 Top O the Morning Way
San Diego, CA 92127
Phone (720) 705-0682

Other names 1

  • California Vascular Health Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240401002266 CA Part B Supplier - Clinic/Group Practice 0749628485 Receives reassigned benefits from 1 practitioner
Practice locations: Fallbrook, CA; Temecula, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

591 E Elder St
Ste B
Fallbrook, CA 92028
Phone (858) 304-0117

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1831806405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "address_2": "PMB 54",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "92067",
            "telephone_number": "720-705-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 E ELDER ST STE B",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920285001",
            "telephone_number": "858-304-0117",
            "fax_number": "760-309-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8273 Top O the Morning Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92127",
            "country_code": "US",
            "telephone_number": "720-705-0682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENTERSURG PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "ZARKOWSKY",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "858-304-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Vascular Health Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.