Organization Active NPI

McGann Facial Design

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Diego, CA
National Provider Identifier
1316119290
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
52892 Issued in CA
Legal business name
MCGANN FACIAL DESIGN
Practice address
7910 Frost St #310
San Diego, CA 92123
Phone
(858) 874-8181
Fax
(858) 429-7010
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Natalia Wolcoff
Title
Office Manager
Phone
(858) 874-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 52892 CA Primary

Addresses

Primary practice location

7910 Frost St #310
San Diego, CA 92123

Mailing address

7910 Frost St #310
San Diego, CA 92123
Phone (858) 874-8181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1316119290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 FROST ST #310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-874-8181",
            "fax_number": "858-429-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 FROST ST #310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-874-8181",
            "fax_number": "858-429-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGANN FACIAL DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "WOLCOFF",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-874-8181"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.