Organization Active NPI

Surgi Art

  • Plastic Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1356668115
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A99678 Issued in CA
Legal business name
SURGI ART
Practice address
999 Doheny Drive Unit 705
West Hollywood, CA 90069-3150
Phone
(310) 560-4434
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Dr. Timothy S Neavin, M.D.NPI 1285899948
Title
Medical Director
Phone
(310) 560-4434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X A99678 CA Primary

Addresses

Primary practice location

999 Doheny Drive Unit 705
West Hollywood, CA 90069-3150

Mailing address

999 Doheny Drive Unit 705
West Hollywood, CA 90069-3150
Phone (310) 560-4434

Other identifiers 1

IdentifierTypeStateIssuer
A99678OtherCASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Surgi Art2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1356668115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 DOHENY DRIVE UNIT 705",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693150",
            "telephone_number": "310-560-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 DOHENY DRIVE UNIT 705",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693150",
            "telephone_number": "310-560-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGI ART",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "NEAVIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-560-4434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A99678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A99678",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.