Menlo Park Plastic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

3030 Issued in CA

Legal business name

MENLO PARK PLASTIC SURGERY CENTER

Practice address

631 Menlo Ave
Menlo Park, CA 94025-4701

Phone

(650) 322-2443

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bal Bagwat, M.D.NPI 1831388602

Title

President

Phone

(650) 322-2443

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bal Bagwat, MD

  • Plastic Surgery Physician
  • Menlo Park, CA
  • NPI 1831388602
  Authorized official Same address or phone

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1023262417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254701",
            "telephone_number": "650-322-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254701",
            "telephone_number": "650-322-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLO PARK PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "BAGWAT",
        "authorized_official_first_name": "BAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-322-2443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "3030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Mendonca
• Menlo Dermatology Medical Group and Laser Center Inc
• Menlo Park Ophthalmology Medical Group
• Menlo Park Pain Relief Center
• Menlo Park Pain Relief Center
• Menlo Park Surgical Hospital
• Menlo Speech Pathology Inc. (Menlo Speech)
• Menlo Square Pharmacy (Menlo Park Pharmacy)
• Kristian Bowden Menotti, LCSW
• Meridian Acupuncture, Inc. (Meridian Acupuncture Clinic)

• Ambulatory Surgical Clinic/Center in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.