Organization Active NPI

Advanced Hand & Reconstructive Plastic Surgery Inc.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Northridge, CA
National Provider Identifier
1215407614
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
Legal business name
ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.
Practice address
18546 Roscoe Blvd Ste 220
Northridge, CA 91324-5455
Phone
(661) 326-2800
NPI assigned
Nov 28, 2018
Last updated
Nov 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Authorized official

Name
Abdul-Wahab H Shararah, MDNPI 1912393315
Title
President
Phone
(661) 326-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X Primary

Addresses

Primary practice location

18546 Roscoe Blvd Ste 220
Northridge, CA 91324-5455

Mailing address

9227 Reseda Blvd # 505
Northridge, CA 91324-3137
Phone (661) 326-2800

National Provider Directory

National Provider Directory

Locations

9227 Reseda Blvd
Northridge, CA 91324
Phone (310) 853-3629

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1215407614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 RESEDA BLVD # 505",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913243137",
            "telephone_number": "661-326-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18546 ROSCOE BLVD STE 220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245455",
            "telephone_number": "661-326-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "SHARARAH",
        "authorized_official_first_name": "ABDUL-WAHAB",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-326-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.