Active NPI
Shir a. Miskinyar, MD, a Professional Organization
- Plastic and Reconstructive Surgery Physician
- Santa Ana, CA
National Provider Identifier
1245443365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A50080
- Legal business name
- SHIR A. MISKINYAR, MD, A PROFESSIONAL ORGANIZATION
- Practice address
- 817 W 17TH St
Santa Ana, CA 92706-3624 - Phone
- (714) 481-1685
- Fax
- (714) 481-1687
- NPI assigned
- May 7, 2007
- 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
- Dr. Shir Ali Miskinyar, M.D.
- Title
- Owner Medical Director
- Phone
- (714) 481-1685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A50080 | CA | Primary |
Addresses
Primary practice location
817 W 17TH St
Santa Ana, CA 92706-3624
Mailing address
817 W 17TH St
Santa Ana, CA 92706-3624
Phone (714) 481-1685
Other names 1
- traumatic injuries and disfigurations medical center, and All beauty p
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1245443365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063624",
"telephone_number": "714-481-1685",
"fax_number": "714-481-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063624",
"telephone_number": "714-481-1685",
"fax_number": "714-481-1687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIR A. MISKINYAR, MD, A PROFESSIONAL ORGANIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "MISKINYAR",
"authorized_official_first_name": "SHIR",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-481-1685",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A50080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "traumatic injuries and disfigurations medical center, and All beauty p",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.