Organization Active NPI

William J. Fisher, M.D., Facs, Inc.

  • Plastic and Reconstructive Surgery Physician
  • Westlake Village, CA
National Provider Identifier
1073685400
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
C33232 Issued in CA
Legal business name
WILLIAM J. FISHER, M.D., FACS, INC.
Practice address
1250 La Venta Dr Ste 202
Westlake Village, CA 91361-3769
Phone
(805) 494-3656
Fax
(805) 496-8480
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William J Fisher
Title
President
Phone
(805) 494-3656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X C33232 CA Primary

Addresses

Primary practice location

1250 La Venta Dr Ste 202
Westlake Village, CA 91361-3769

Mailing address

1250 La Venta Dr Ste 202
Westlake Village, CA 91361-3769
Phone (805) 494-3656

Other identifiers 2

IdentifierTypeStateIssuer
C33232OtherCABLUE CROSS PIN
00C332320OtherCABLUE SHIELD PIN

National Provider Directory

National Provider Directory
Tax ID family
Dr Fisher2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073685400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR STE 202",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613769",
            "telephone_number": "805-494-3656",
            "fax_number": "805-496-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA DR STE 202",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613769",
            "telephone_number": "805-494-3656",
            "fax_number": "805-496-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. FISHER, M.D., FACS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-494-3656"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "C33232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PIN",
            "identifier": "C33232",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00C332320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.