Organization Active NPI

Hillcrest Surgical Medical Group, Inc.

Doing business as Pacific Bariatric Surgical Medical Group, Inc.

  • Specialist
  • San Diego, CA
National Provider Identifier
1942229885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G40645 Issued in CA
Legal business name
HILLCREST SURGICAL MEDICAL GROUP, INC.
Doing business as
Pacific Bariatric Surgical Medical Group, Inc.
Practice address
4060 Fourth Avenue
Suite 330
San Diego, CA 92103
Phone
(619) 298-9931
Fax
(619) 298-3613
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eugene Williams Rumsey Jr., M.D.NPI 1730259029
Title
Surgeon Partner
Phone
(619) 298-9931

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
Specialist 174400000X G40645 CA Primary

Addresses

Primary practice location

4060 Fourth Avenue
Suite 330
San Diego, CA 92103

Mailing address

4060 Fourth Avenue
Suite 330
San Diego, CA 92103
Phone (619) 298-9931

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ83350ZMedicaidCA

Other names 1

  • Pacific Bariatric Surgical Medical Group, Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942229885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-298-9931",
            "fax_number": "619-298-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVENUE",
            "address_2": "SUITE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-298-9931",
            "fax_number": "619-298-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST SURGICAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUMSEY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "SURGEON PARTNER",
        "authorized_official_telephone_number": "619-298-9931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ83350Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Bariatric Surgical Medical Group, Inc.",
            "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 Aug 22, 2020; 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.