Organization · Type 2 NPI

Surgical Physician Assistant Specialist, Inc.

Exclusive Provider Organization · La Mesa, CA

NPI number 1619544178 Active

Practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

1401 21st St # 11082
Sacramento, CA 95811-5226

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000XNone listed

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

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About NPI 1619544178

Surgical Physician Assistant Specialist, Inc.'s National Provider Identifier is 1619544178, issued on Jun 4, 2021. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in La Mesa, CA. The record was last updated on Jan 22, 2026.