Tansavatdi Cosmetic & Reconstructive Surgery Inc

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

A116470 Issued in CA

Legal business name

TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC

Practice address

2835 Townsgate Rd Ste 101
Westlake Village, CA 91361-3005

Phone

(805) 715-4996

Fax

(805) 715-4995

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Tansavatdi, M.D.

Title

President

Phone

(805) 715-4996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Tansavatdi Facial Plastic Surgery Doing business as
• Westlake Premier Surgery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1336497353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 TOWNSGATE RD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615021",
            "telephone_number": "805-715-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 TOWNSGATE RD STE 101",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613005",
            "telephone_number": "805-715-4996",
            "fax_number": "805-715-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "TANSAVATDI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-715-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A116470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932397007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tansavatdi Facial Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westlake Premier Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Tamsut
• Kevin James Tan
• Krista Shalee Loomis Tan, PT
• Nesha Tandon, PHD, LMFT
• Renuka Ati Tanna, PSY.D
• Kristina Tansavatdi, M.D.
• Andrea Tapia
• Courtney Tarbox, BCBA
• Tamara Michelle Tasoff, DDS
• Pamela W Taxe, PHD

• Facial Plastic Surgery Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.