Organization Active NPI

San Francisco Reconstructive Plastic Surgery Inc.

  • Clinic/Center
  • San Francisco, CA
National Provider Identifier
1194497529
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAN FRANCISCO RECONSTRUCTIVE PLASTIC SURGERY INC.
Practice address
1545 Pine Street Ste 108
San Francisco, CA 94109
Phone
(415) 815-7204
Fax
(415) 933-8292
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Dr. Charles K Lee, MDNPI 1487635298
Title
Doctor
Phone
(415) 815-7204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1545 Pine Street Ste 108
San Francisco, CA 94109

Mailing address

1545 Pine Street Ste 108
San Francisco, CA 94109
Phone (415) 815-7204

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": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1194497529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 PINE STREET STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-815-7204",
            "fax_number": "415-933-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 PINE STREET STE 108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-815-7204",
            "fax_number": "415-933-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO RECONSTRUCTIVE PLASTIC SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "415-815-7204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.