Organization Active NPI

Kao Plastic Surgery Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1114107265
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
KAO PLASTIC SURGERY MEDICAL CORPORATION
Practice address
1301 20TH St
Suite 150
Santa Monica, CA 90404-2050
Phone
(310) 315-9211
Fax
(310) 315-9392
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Dr. Chia CHI Kao, M.D.
Title
President & Owner
Phone
(310) 315-9211

Specialties & licenses 1

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

Addresses

Primary practice location

1301 20TH St
Suite 150
Santa Monica, CA 90404-2050

Mailing address

PO Box 940249
Simi Valley, CA 93094-0249
Phone (805) 581-5575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1114107265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940249",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930940249",
            "telephone_number": "805-581-5575",
            "fax_number": "310-634-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "SUITE 150",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042050",
            "telephone_number": "310-315-9211",
            "fax_number": "310-315-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAO PLASTIC SURGERY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "KAO",
        "authorized_official_first_name": "CHIA",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "310-315-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.