Active NPI
Grossman Plastic Surgery
- Plastic Surgery Physician
- West Hills, CA
National Provider Identifier
1124430236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G66484
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryNPI 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.