Organization Active NPI

Solano Plastic Surgery, Inc

  • Plastic Surgery Physician
  • Vacaville, CA
National Provider Identifier
1003907544
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G083294 Issued in CA
Legal business name
SOLANO PLASTIC SURGERY, INC
Practice address
1001 Nut Tree Road
Suite 130
Vacaville, CA 95687
Phone
(707) 448-3436
Fax
(707) 449-6846
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brian Kent Klink, MD
Title
President
Phone
(707) 448-3436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G083294 CA Primary

Addresses

Primary practice location

1001 Nut Tree Road
Suite 130
Vacaville, CA 95687

Mailing address

1001 Nut Tree Road
Suite 130
Vacaville, CA 95687
Phone (707) 448-3436

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2159454Napa Solano Plastic Surgery Inc1001 Nut Tree Rd, Ste 130, Vacaville, CA 95687Certificate of waiverDec 17, 2026

National Provider Directory

National Provider Directory

Locations

1001 Nut Tree Rd
Ste 130
Vacaville, CA 95687
Phone (707) 448-3436

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1003907544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE ROAD",
            "address_2": "SUITE 130",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-448-3436",
            "fax_number": "707-449-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE ROAD",
            "address_2": "SUITE 130",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-448-3436",
            "fax_number": "707-449-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLANO PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "KLINK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-448-3436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G083294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.