Established in 1987 and holding privileges across five San Diego hospitals, San Diego Heart and Vascular Associates runs its Hillcrest office from Suite 512 at 501 Washington Street with board-certified subspecialists in interventional, structural, nuclear, and electrophysiology cardiology. In-office nuclear stress testing, echocardiography, Holter monitoring, and implanted device interrogation feed into catheter-based workflows, with downstream vascular surgery cases referred to Surgical Specialists Of San Diego when aortic aneurysm repair or surgical bypass becomes indicated. Structural heart coverage includes TAVR, mitral valve repair, Watchman left atrial appendage closure, and PFO/ASD closure performed at partner hospitals under the group privileges. Chronic total occlusion recanalization, rotational atherectomy, intravascular lithotripsy, and FFR/IVUS-guided PCI form the interventional core of the coronary program. Post-intervention cardiac reconditioning is coordinated with Scripps Mercy San Diego Outpatient Physical Rehabilitation to rebuild exercise tolerance after stenting and valve procedures. The highest-acuity caseload centers on redo structural interventions and complex electrophysiology ablations for persistent atrial fibrillation and ventricular arrhythmias requiring three-dimensional mapping and high-power short-duration lesion sets.