California Eye and Facial Plastic Surgery

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

CALIFORNIA EYE AND FACIAL PLASTIC SURGERY

Practice address

1812 Port Abbey PL
Newport Beach, CA 92660-5310

Phone

(801) 699-5945

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Justin Johnsen, MD

Title

Owner

Phone

(801) 699-5945

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• California Eye and Facial Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
  • NPI 1538399761
  NPPES parent name

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1205367976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 PORT ABBEY PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605310",
            "telephone_number": "801-699-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 PORT ABBEY PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605310",
            "telephone_number": "801-699-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EYE AND FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-699-5945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johana Calderon Aguilar
• Gabrielle L Calderon
• Natalie Ramos Calderon
• California Acute Care Surgery Inc
• California Cardiac Center, Inc.
• California Eye and Facial Plastic Surgery
• California Foot and Ankle Institute, a Podiatry Corporation
• California Pharmacy & Compounding Center Inc
• California Pharmacy & Compounding Center Inc
• California Rehabilitation, Inc

• Ophthalmic Plastic and Reconstructive Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.