Plastic Surgery Specialists, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLASTIC SURGERY SPECIALISTS, INC

Practice address

350 Bon Air Rd
Suite 300
Greenbrae, CA 94904-1752

Phone

(415) 925-2880

Fax

(415) 925-2884

NPI assigned

Jan 24, 2008

Last updated

Apr 20, 2010By 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

Holly Pruett

Title

Administrator

Phone

(415) 925-2880

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Yngvar A Hvistendahl, MD

  • Plastic Surgery Physician
  • Greenbrae, CA
  • NPI 1639280001
  NPD (past)
• Khashayar Mohebali, MD

  • Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1437331360
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1184801854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD",
            "address_2": "SUITE 300",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041752",
            "telephone_number": "415-925-2880",
            "fax_number": "415-925-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR RD",
            "address_2": "SUITE 300",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041752",
            "telephone_number": "415-925-2880",
            "fax_number": "415-925-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-925-2880"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Arthur Peterson, MD
• David Pham
• Whitney Pinger, CNM
• Pinnacle Neurology Inc
• Ana Isabel Plasencia, STUDENT
• Carlos F Plata-Martinez, MD
• Zambia Richea Player, RN
• Gina Poelke
• Joseph Charles Poen, MD
• Henry C Pollack, MD

• Ambulatory Surgical Clinic/Center in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.