Individual provider Active NPI

Homayoun Attaran, M.D.

  • Plastic Surgery Physician
  • Danville, CA
National Provider Identifier
1033225388
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G64776 Issued in CA
Practice address
919 San Ramon Valley Blvd
Suite 158
Danville, CA 94526-4050
Phone
(925) 362-8292
NPI assigned
Aug 21, 2006
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G64776 CA Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X G64776 CA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X G64776 CA

Addresses

Primary practice location

919 San Ramon Valley Blvd
Suite 158
Danville, CA 94526-4050

Mailing address

PO Box 3084
Danville, CA 94526-8084
Phone (925) 362-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64776CAMDSurgery of the Hand (Plastic Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1033225388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3084",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945268084",
            "telephone_number": "925-362-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 158",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264050",
            "telephone_number": "925-362-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTARAN",
        "first_name": "HOMAYOUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G64776",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "G64776",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G64776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.