Healthcare Provider Details

I. General information

NPI: 1972821411
Provider Name (Legal Business Name): LUIS C. CAJAS-MONSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8860 CENTER DRIVE SUITE 450
LA MESA CA
91942
US

IV. Provider business mailing address

8860 CENTER DRIVE SUITE 450
LA MESA CA
91942
US

V. Phone/Fax

Practice location:
  • Phone: 619-460-6200
  • Fax: 619-460-6262
Mailing address:
  • Phone: 619-460-6200
  • Fax: 619-460-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA124195
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA124195
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: