Organization Active NPI

Sap Reconstructive Surgery Inc

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1295195642
Registry record updated Feb 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SAP RECONSTRUCTIVE SURGERY INC
Practice address
3060 Deep Canyon Dr
Beverly Hills, CA 90210-1043
Phone
(631) 827-8159
Fax
(631) 368-1538
NPI assigned
Feb 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2016

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

Authorized official

Name
Mr. Mathew James
Title
Billing Manager
Phone
(631) 827-8159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3060 Deep Canyon Dr
Beverly Hills, CA 90210-1043

Mailing address

3060 Deep Canyon Dr
Beverly Hills, CA 90210-1043
Phone (631) 827-8159

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456617600000",
    "number": "1295195642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DEEP CANYON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101043",
            "telephone_number": "631-827-8159",
            "fax_number": "631-368-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DEEP CANYON DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101043",
            "telephone_number": "631-827-8159",
            "fax_number": "631-368-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAP RECONSTRUCTIVE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2016-02-28",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-827-8159",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2016; 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.