Organization Active NPI

Grossman Plastic Surgery

  • Plastic Surgery Physician
  • West Hills, CA
National Provider Identifier
1124430236
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G66484 Issued in CA
Legal business name
GROSSMAN PLASTIC SURGERY
Practice address
7325 Medical Center Dr
Ste. 200
West Hills, CA 91307-1925
Phone
(818) 981-2050
Fax
(818) 981-2382
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Mrs. Kelli Rix, RN
Title
Coo/Cno
Phone
(818) 981-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G66484 CA Primary

Addresses

Primary practice location

7325 Medical Center Dr
Ste. 200
West Hills, CA 91307-1925

Mailing address

7325 Medical Center Dr
Ste. 200
West Hills, CA 91307-1925
Phone (818) 981-2050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1124430236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR",
            "address_2": "STE. 200",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-981-2050",
            "fax_number": "818-981-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR",
            "address_2": "STE. 200",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071925",
            "telephone_number": "818-981-2050",
            "fax_number": "818-981-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSMAN PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "RIX",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "COO/CNO",
        "authorized_official_telephone_number": "818-981-2050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G66484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.