California Face Institute Apc

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

Legal business name

CALIFORNIA FACE INSTITUTE APC

Practice address

6850 Brockton Ave Ste 108
Riverside, CA 92506-3814

Phone

(951) 313-6843

Fax

(951) 800-1850

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Amar Gupta, MDNPI 1912340159

Title

President

Phone

(951) 313-6843

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Amar Gupta, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Riverside, CA
  • NPI 1912340159
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1306438858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063814",
            "telephone_number": "951-313-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 BROCKTON AVE STE 108",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063814",
            "telephone_number": "951-313-6843",
            "fax_number": "951-800-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA FACE INSTITUTE APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-313-6843",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melena Calhoun, MS, ATC
• Vanessa Nichele Calhoun, M.S., LMFT
• California Baptist University
• California Baptist University
• California Dermatology Institute PC
• California Healing Horizons
• California Healthcare Medical Supply, Inc.
• California Home for the Adult Deaf
• California Hospice Services LLC
• California Manor Guest Home

• Plastic Surgery Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.