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Physician / Surgery - General / California / Permanent / General Surgery Physician Job Full-Scope, High Volume, $400K+ Base California Foothills Job
Novato, CAMarch 25th, 2026
Pacific Companies is pleased to present a full-time General Surgery opportunity within a stable, physician-led hospital environment serving a rural California foothills community. This role is ideal for a true general surgeon who values breadth of practice, strong income potential, and meaningful partnership with an established, high-performing colleague. You will step into an active, turnkey practice with immediate volume, robust endoscopy demand, and a supportive hospital team that prioritizes quality and patient safety. The program is designed for surgeons who want autonomy, productivity, and long-term stability without corporate micromanagement. With a balanced salary-plus-productivity model and well-compensated call, this position rewards surgeons who enjoy being busy and practicing the full scope of general surgery. Both early-career surgeons seeking mentorship and experienced surgeons seeking a strong partner will be considered.Position, Compensation & Organization Highlights Full-scope General Surgery including upper & lower endoscopy Busy, established practice with immediate case volume Approx. 100-120 procedures per month (surgical cases + endoscopy) Bread-and-butter general surgery plus GI bleeds, ports, gallbladders, breast cases One-week-on / one-week-off call rotation Light call burden with limited OR call-ins $400,000 base salary $25,000 annual quality incentive $74 per wRVU above 6,800 wRVUs $1,500 per 24-hour call day (including GI coverage) Fully employed with medical, dental, vision, malpractice, licensing, DEA covered Strong OR staff, reliable hospitalist support, and efficient workflows