Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pediatric Office Anesthesia Specialists

Organization Pediatric Anesthesiology Physician · NPI 1649880147

Pediatric Office Anesthesia Specialists is a Pediatric Anesthesiology Physician in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12625 High Bluff Dr Ste 301
San Diego, CA 92130-2054
Phone: (858) 254-0512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X

Record details

NPI number1649880147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Gillin — Co-Owner · (858) 254-0512
NPI enumeratedAugust 9, 2020
Last updated in NPPESAugust 9, 2020
Certification dateAugust 9, 2020
Mailing address13990 Mercado Dr, Del Mar, CA 92014-3124

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