Persons Plastic Surgery, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A64843 Issued in CA

Legal business name

PERSONS PLASTIC SURGERY, INC.

Practice address

911 Moraga Rd.
#205
Lafayette, CA 94549-4500

Phone

(925) 283-4012

Fax

(925) 283-4847

NPI assigned

Jul 16, 2010

Last updated

Jan 31, 2013By 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

Barbara Lynn Persons, M.D.NPI 1467484246

Title

President

Phone

(925) 283-4012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Cosmetic Reconstructive Surgery Center2 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.

• Cosmetic & Reconstructive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lafayette, CA
  • NPI 1912291394
  NPD tax ID

Locations

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.

• Barbara L. Persons, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, CA
  • NPI 1467484246
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1114230364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD.",
            "address_2": "#205",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494500",
            "telephone_number": "925-283-4012",
            "fax_number": "925-283-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD.",
            "address_2": "#205",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494500",
            "telephone_number": "925-283-4012",
            "fax_number": "925-283-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONS PLASTIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PERSONS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-283-4012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A64843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak to Peak Physical Therapy
• Elise Pellett, PT, DPT
• James Earl Pennington, M.D.
• Jessica Perkins
• Heidi P Perryman, PH.D.
• Barbara L. Persons, M.D.
• Peter a Linfoot PHD MD Inc. (Diabetes and Endocrine Institute)
• William Pettus
• Landrus L Pfeffinger, MD
• Sally Pham

• Plastic Surgery Physician in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.